MR. Nathan R Porter, LCSW
NPI #1003952912 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1003952912
- Entity Type
- Individual
- Name
- MR. Nathan R Porter, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jun 30, 2016
Practice Location
- Address
- 100 N WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4335
- Phone
- (208) 346-2363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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