Individual
MR. DELLMUS CHARLES PORTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
10009 BOYSENBERRY DR, FISHERS, IN 46038-3018
(317) 770-3945
(317) 774-1550
Mailing address
10009 BOYSENBERRY DR, FISHERS, IN 46038-3018
(317) 770-3945
(317) 774-1550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001677A
IN
Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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