Individual
JENNIFER PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
764 BESSEMER ST STE 103, MEADVILLE, PA 16335-1862
(814) 573-3173
(855) 368-7779
Mailing address
10670 DONNA RD, TITUSVILLE, PA 16354-2802
(814) 573-3173
(855) 368-7779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1649651738
PA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC008232
PA
Other
Enumeration date
06/15/2015
Last updated
04/30/2024
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