Individual
MARK PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT-ASSOCIATE
Contact information
Practice address
6442 98TH ST STE 300, LUBBOCK, TX 79424-5470
(806) 777-4045
Mailing address
6442 98TH ST STE 300, LUBBOCK, TX 79424-5470
(806) 777-4045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205565
TX
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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