Individual
CINDI MICHELE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 623-8020
(360) 623-1084
Mailing address
COMPREHENSIVE LIFE RESOURCES, 1305 TACOMA AVENUE SOUTH, TACOMA, WA 98402-1903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CG60806049
WA
Other
Enumeration date
05/06/2019
Last updated
12/12/2019
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