Individual
MS. ERIN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
516 25TH DR E, ELLENTON, FL 34222-2062
(941) 545-9630
Mailing address
516 25TH DR E, ELLENTON, FL 34222-2062
(941) 545-9630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW 11139
FL
Other
Enumeration date
05/05/2014
Last updated
04/27/2023
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