Individual
STEPHANIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
320 OSUNA RD NE, STE H-4, ALBUQUERQUE, NM 87107-5952
(505) 345-2778
Mailing address
320 OSUNA RD NE, STE H-4, ALBUQUERQUE, NM 87107-5952
(505) 345-2778
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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