Individual
AMANDA MICHELLE PORRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-RPT
Contact information
Practice address
1721 W 33RD ST STE B, EDMOND, OK 73013-3834
(405) 875-5399
(405) 562-3532
Mailing address
1721 W 33RD ST STE B, EDMOND, OK 73013-3834
(405) 875-5399
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1396
OK
Other
Enumeration date
08/24/2018
Last updated
01/03/2023
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