Individual
MRS. LEONA C PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
236 IRELAND TER, WILLIAMSTOWN, NJ 08094-1550
(609) 221-7501
Mailing address
236 IRELAND TER, WILLIAMSTOWN, NJ 08094-1550
(856) 629-6723
(856) 629-6723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00061100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038598
—
NJ
Enumeration date
04/10/2007
Last updated
07/09/2007
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