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Individual
MARY BETH PORTER
Active
Individual
MARY BETH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCDC, LPC ASSOC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15740
TX
101YP2500X
Professional Counselor
89986
TX
Other
Enumeration date
03/03/2022
Last updated
09/20/2022
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