Individual
KELLEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9649 BELAIR RD STE 104, NOTTINGHAM, MD 21236-1117
(410) 529-1309
(410) 529-1005
Mailing address
9649 BELAIR RD STE 104, NOTTINGHAM, MD 21236-1117
(410) 529-1309
(410) 529-1005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11431
MD
101YP2500X
Professional Counselor
LGP9575
MD
Other
Enumeration date
05/30/2019
Last updated
07/03/2023
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