Individual
KENDRA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1200 S POKEGAMA AVE STE 160, GRAND RAPIDS, MN 55744-4296
(218) 999-0051
(218) 999-7020
Mailing address
1200 S POKEGAMA AVE STE 160, GRAND RAPIDS, MN 55744-4296
(218) 999-0051
(218) 999-7020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02638
MN
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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