Individual
EMILY R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMHC
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3853
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002767A
IN
163W00000X
Registered Nurse
28091859A
IN
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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