Individual
MS. JANE B PORTRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
338 MAIN ST, SUITE 304, WAKEFIELD, MA 01880-5013
(781) 246-2010
(781) 246-1448
Mailing address
10 RYAN RD, GLOUCESTER, MA 01930-5126
(978) 525-3740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
192066
MA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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