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Individual

JASMINE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CDC I, MAC, LPC

Contact information

Practice address
3760 PIPER ST STE 1108, ANCHORAGE, AK 99508
(907) 212-6900
(907) 212-6936
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
784
AK

Other

Enumeration date
01/28/2013
Last updated
03/28/2019
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