Individual
DEBORAH LEE WILSON-PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 12TH ST, GREELEY, CO 80631-4024
(970) 347-1323
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0104221
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/21/2014
Last updated
08/12/2020
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