Individual
NATALIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPAT
Contact information
Practice address
1907 BARDSTOWN RD, LOUISVILLE, KY 40205-1525
(270) 300-0359
Mailing address
3024 PEALE AVE, LOUISVILLE, KY 40205-3158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
271795
KY
Other
Enumeration date
08/03/2021
Last updated
09/26/2024
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