Individual
TONYA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3015 E SOMERSET DR, SPANISH FORK, UT 84660-3123
(801) 376-0782
Mailing address
3015 E SOMERSET DR, SPANISH FORK, UT 84660-3123
(801) 376-0782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5390321-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5390321-6004
STATE LICENSE
UT
Enumeration date
12/31/2018
Last updated
12/31/2018
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