Individual
MRS. JENNIFER ANDREA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
4440 POTH RD, COLUMBUS, OH 43213-1324
(614) 751-9068
Mailing address
2803 AKRON RD, WOOSTER, OH 44691-7904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0500048
OH
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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