Individual
REBECCA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
835 HARRISON AVE, SALT LAKE CITY, UT 84105-2222
(801) 419-4541
Mailing address
835 HARRISON AVE, SALT LAKE CITY, UT 84105-2222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6295220-6004
UT
Other
Enumeration date
09/25/2006
Last updated
08/21/2008
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