Individual
MS. DESTINY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 LONG ST, HIGH POINT, NC 27262-2541
(336) 889-6161
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
A21560
NC
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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