Individual
JENNA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
220 MURDOCK ST, MINGO JUNCTION, OH 43938-1062
(740) 314-8195
Mailing address
220 MURDOCK ST, MINGO JUNCTION, OH 43938-1062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA180183
OH
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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