Individual
MICHAEL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT ASSOCIATE
Contact information
Practice address
106 S HARRIS ST STE 238, ROUND ROCK, TX 78664-6086
(512) 591-8428
Mailing address
106 S HARRIS ST STE 238, ROUND ROCK, TX 78664-6086
(512) 591-8428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
203868
TX
106H00000X
Marriage & Family Therapist
Primary
203868
TX
Other
Enumeration date
01/12/2021
Last updated
02/08/2021
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