Individual
DR. NATASHA REGINA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT, LPCC-S
Contact information
Practice address
300 W DIXIE AVE STE 11, ELIZABETHTOWN, KY 42701-1764
(270) 900-1358
(844) 444-1150
Mailing address
300 W DIXIE AVE STE 11, ELIZABETHTOWN, KY 42701-1764
(270) 900-1358
(844) 444-1150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
247969
KY
106H00000X
Marriage & Family Therapist
Primary
262289
KY
106H00000X
Marriage & Family Therapist
F2100220
OH
106H00000X
Marriage & Family Therapist
MT4317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464336
—
OH
05
—
7100670980
—
KY
Enumeration date
03/08/2020
Last updated
11/12/2022
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