Individual
MR. MARK ELLIOTT PORTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA, TCM
Contact information
Practice address
236 W MAIN ST STE 201, DANVILLE, KY 40422-1876
(859) 358-7145
Mailing address
110 SILVERCREEK DR, DANVILLE, KY 40422-2907
(859) 358-7145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287878
KY
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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