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Individual

NICHOLAS T PORRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
830 TYRONE PIKE, VERSAILLES, KY 40383-1323
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
291091
KY
106H00000X
Marriage & Family Therapist
Primary
291091
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16215997
CAQH
KY
05
7100999640
KY
Enumeration date
05/28/2024
Last updated
09/27/2024
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