Individual
DARCY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
3181 PRAIRIE ST SW, SUITE #1, GRANDVILLE, MI 49418-2097
(616) 481-3784
Mailing address
3181 PRAIRIE ST SW, SUITE #1, GRANDVILLE, MI 49418-2097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014094
MI
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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