Individual
KARLY PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 PARK AVE, MINNEAPOLIS, MN 55404
(612) 872-2000
(612) 871-1375
Mailing address
3901 CHICAGO AVE, MINNEAPOLIS, MN 55407-2614
(612) 558-6974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1505
MN
Other
Enumeration date
03/27/2014
Last updated
05/25/2018
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