Individual
MS. ALICIA JANINE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1245 W. HUNTINGTON DR., #105, ARCADIA, CA 91007
(626) 487-6840
Mailing address
1245 W. HUNTINGTON DR., #105, ARCADIA, CA 91007
(626) 487-6840
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC34057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC340570
MEDI-CAL
CA
Enumeration date
05/02/2007
Last updated
07/08/2007
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