Individual
MR. SHANE C PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
136 JULIA ST, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
(386) 423-3094
Mailing address
136 JULIA ST, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
(386) 423-3094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH6409
FL
Other
Enumeration date
04/03/2006
Last updated
03/05/2026
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