Individual
ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 942-5600
(860) 450-7116
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 942-5600
(860) 450-7116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
10/26/2011
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