Individual
GAYLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2676 MARICOPA DR SE, RIO RANCHO, NM 87124-3948
(505) 225-2996
Mailing address
2676 MARICOPA DR SE, RIO RANCHO, NM 87124-3948
(505) 225-2996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0194821
NM
Other
Enumeration date
11/20/2014
Last updated
10/31/2023
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