Individual
CHRISTINA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1112
Mailing address
1205 5TH ST, ALVA, OK 73717-3107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/17/2024
Last updated
10/30/2024
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