Individual
DAVID ZACHARY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 316-7720
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
243217
KY
101YP2500X
Professional Counselor
LPCCCA00223737
KY
Other
Enumeration date
12/18/2015
Last updated
03/25/2024
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