Individual
SYNDREA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 BLAIRS FERRY RD NE STE 2, CEDAR RAPIDS, IA 52402-1274
(319) 360-6609
Mailing address
2037 D ST SW, CEDAR RAPIDS, IA 52404-2919
(217) 417-5294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
088805
IA
101YP2500X
Professional Counselor
180.009300
IL
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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