Individual
DANIELLE C PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA, SUDPT
Contact information
Practice address
7416 212TH ST SW, EDMONDS, WA 98026-7602
(425) 245-5800
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61213323
WA
101YM0800X
Mental Health Counselor
Primary
MC61381591
WA
Other
Enumeration date
12/15/2022
Last updated
04/05/2023
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