Individual
CORINNE NOEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A LMFT
Contact information
Practice address
131 NW HAWTHORNE AVE STE 110, BEND, OR 97703-2957
(541) 782-8569
Mailing address
131 NW HAWTHORNE AVE STE 110, BEND, OR 97703-2957
(541) 782-8569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
06/14/2024
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