Individual
REBECCA SUE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 US HIGHWAY 62 W, PRINCETON, KY 42445-6106
(270) 365-2008
(270) 365-2009
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
03/27/2018
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