Organization
JENNIFER PORTER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PORTER (OWNER)
(814) 573-3173
Entity
Organization
Contact information
Practice address
764 BESSEMER ST STE 103, MEADVILLE, PA 16335-1862
(814) 573-3173
Mailing address
764 BESSEMER ST STE 103, MEADVILLE, PA 16335-1862
(814) 573-3173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649651738
NPI
PA
05
—
1649651738
—
PA
Enumeration date
06/24/2019
Last updated
05/21/2024
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