Individual
MR. JASON CHANNING PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10985 CODY ST STE 105, OVERLAND PARK, KS 66210-1240
(913) 259-4572
Mailing address
20300 S GARDNER RD, GARDNER, KS 66030-9138
(913) 271-4025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3560
KS
101Y00000X
Counselor
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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