Individual
REBECCA L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
98 MAINE ST, BRUNSWICK, ME 04011-2031
(207) 522-5663
Mailing address
14 RIVERVIEW RD, BATH, ME 04530-1632
(207) 522-5663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4360
ME
Other
Enumeration date
07/29/2014
Last updated
07/07/2016
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