Individual
CHRISTIANNE PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13919 CARROLLWOOD VILLAGE RUN, TAMPA, FL 33618-2746
(305) 301-9787
Mailing address
8340 SW 91ST ST, MIAMI, FL 33156-7346
(305) 301-9787
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3582
FL
Other
Enumeration date
08/17/2018
Last updated
08/03/2021
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