Individual
BETHANY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPC, LMHC
Contact information
Practice address
6720 PATTERSON AVE STE C, RICHMOND, VA 23226-3434
(301) 537-8846
Mailing address
8616 CHOCTAW RD, NORTH CHESTERFIELD, VA 23235-2428
(301) 537-8846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005093
VA
101YP2500X
Professional Counselor
093646
IA
101YP2500X
Professional Counselor
LC2095
MD
Other
Enumeration date
03/16/2007
Last updated
08/21/2024
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