Individual
GLEN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
85 N 300 W STE C, WASHINGTON, UT 84780-3563
(435) 227-5052
(435) 215-4514
Mailing address
558 S AERIES DR, WASHINGTON, UT 84780-3568
(801) 499-9435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9823173-6009
UT
Other
Enumeration date
01/30/2017
Last updated
04/14/2025
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