Organization
STEPHANIE PORTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE Z PORTER MA (LAMFT)
(505) 453-6235
Entity
Organization
Contact information
Practice address
320 OSUNA RD NE, STE H-4, ALBUQUERQUE, NM 87107-5952
(505) 345-2778
Mailing address
320 OSUNA RD NE, STE H-4, ALBUQUERQUE, NM 87107-5952
(505) 345-2778
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
T-0182791
NM
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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