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Individual

MS. JAMIE LYNN PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA., LMFT, LPX

Contact information

Practice address
11200 BROADWAY ST, SUITE 2743, PEARLAND, TX 77584-9785
(832) 736-4418
Mailing address
11200 BROADWAY ST, SUITE 2743, PEARLAND, TX 77584-9785
(832) 736-4418

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
64674
TX
106H00000X
Marriage & Family Therapist
Primary
201362
TX

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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