Individual
MONICA HUBBARD PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4375 FALCON CT, CONLEY, GA 30288-2011
(678) 796-8848
Mailing address
4375 FALCON CT, CONLEY, GA 30288-2011
(404) 661-0981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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