Individual
MISS JESSICA ANN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6011B TROTWOOD AVENUE, COLUMBIA, TN 38401
(931) 560-3066
(931) 560-3052
Mailing address
6011B TROTWOOD AVE, COLUMBIA, TN 38401
(931) 560-3066
(931) 560-3052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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