Individual
CANDI PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
6009 MONTICELLO DR STE C, MONTGOMERY, AL 36117-6209
(334) 697-3590
Mailing address
PO BOX 681000, PRATTVILLE, AL 36068-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2517A
AL
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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