Individual
MS. MARTHA ELLERBE PORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1801 LIVE OAK CT, NORTH AUGUSTA, SC 29860-8444
(803) 278-0525
Mailing address
1801 LIVE OAK CT, NORTH AUGUSTA, SC 29860-8444
(803) 278-0525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2590
SC
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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