Organization
PORTNER COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY M PORTNER LCSW (MANAGING OWNER)
(954) 895-6263
Entity
Organization
Contact information
Practice address
1800 N FEDERAL HWY, SUITE 206, POMPANO BEACH, FL 33062-1034
(954) 895-6263
(239) 775-0088
Mailing address
1800 N FEDERAL HWY, SUITE 206, POMPANO BEACH, FL 33062-1034
(954) 895-6263
(239) 775-0088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1706AD859301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1706AD859301
STATE DCF LICENSE
FL
Enumeration date
07/06/2016
Last updated
07/06/2016
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