Individual
DR. DANIEL B. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4248 OLD CAVE SPRING RD, ROANOKE, VA 24018-3417
(540) 989-5640
(540) 989-6587
Mailing address
PO BOX 20071, ROANOKE, VA 24018-0008
(540) 989-5640
(540) 989-6587
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000644
VA
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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