Individual
MR. LAWRENCE JOSEPH PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
512 S UNION ST, TRAVERSE CITY, MI 49684-3247
(231) 941-6550
(231) 941-8981
Mailing address
512 S UNION ST, TRAVERSE CITY, MI 49684-3247
(231) 941-6550
(231) 941-8981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013035
MI
101YP2500X
Professional Counselor
MH 5902
FL
Other
Enumeration date
07/26/2006
Last updated
02/28/2013
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