Individual
ALENA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 WYNNTON RD, COLUMBUS, GA 31906-2919
(706) 441-3431
Mailing address
1329 WYNNTON RD, COLUMBUS, GA 31906-2919
(762) 212-3404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003282583C
—
GA
Enumeration date
09/13/2018
Last updated
11/21/2024
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