person
Mr. Shane C Porter, LMHC
Professional Counselor in New Smyrna Beach, Florida
NPI 1801858329

Shane C Porter is a Professional Counselor based in New Smyrna Beach, FL and is specialized in Professional. Shane C Porter practices in New Smyrna Beach, FL and has the professional credentials of LMHC. The NPI Number for Shane C Porter is 1801858329 and holds a License No. MH6409 (Florida).

The current practice location address for Shane C Porter is 265 N Causeway, New Smyrna Beach, FL and can be reached out via phone at 386-423-9161 and via fax at 386-423-3094.

Location: 265 N Causeway, New Smyrna Beach, FL, 32168-8403
person
Provider Profile Details
NPI Number
1801858329
Provider Name
Shane C Porter
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
265 N Causeway, New Smyrna Beach, FL, 32168-8403
Phone Number
386-423-9161
Fax Number
386-423-3094
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
265 N Causeway
City
State
Zip
32169-5239
Phone Number
386-423-9161
Fax Number
386-423-3094
person
Provider Business Mailing Address Details
Address
265 N Causeway
City
State
Zip
32169-5239
Phone Number
386-423-9161
Fax Number
386-423-3094
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH6409 (Florida)
Definition
Definition to come...
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