Individual
MICKI PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4513 COUNTY ROAD 12, PROCTORVILLE, OH 45669-8304
(740) 222-9103
Mailing address
4513 COUNTY ROAD 12, PROCTORVILLE, OH 45669-8304
(740) 222-9103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
101YM0800X
Mental Health Counselor
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
01/17/2025
Last updated
12/16/2025
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