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Individual
DEBBIE L. PORTER
Active
Individual
DEBBIE L. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12076755
CAQH PROVIDER
—
01
—
Z01S5
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/22/2010
Last updated
06/22/2010
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