Individual
ARETHA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3042 BAY SHORE LN, SUFFOLK, VA 23435-3187
(757) 739-1762
Mailing address
3042 BAY SHORE LN, SUFFOLK, VA 23435-3187
(757) 672-7770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012914
VA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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