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Individual

KENNITH PORTER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCHT

Contact information

Practice address
1101 SUNSET BLVD, KENNER, LA 70065-6810
(504) 250-0694
Mailing address
1101 SUNSET BLVD, KENNER, LA 70065-6810
(504) 402-1814

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LA

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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