Individual
JOHNNIE B. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. DIV., M.A.C.M.
Contact information
Practice address
4751 BEST RD STE 400E, ATLANTA, GA 30337-5609
(678) 637-4653
Mailing address
PO BOX 1986, VILLA RICA, GA 30180-6430
(678) 820-6829
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/05/2016
Last updated
08/28/2016
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