MR. Michael Edgar Porter

NPI #1023358694 in Loa, Utah

Provider Information

NPI Number
1023358694
Entity Type
Individual
Name
MR. Michael Edgar Porter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Feb 19, 2013
Last Updated
Feb 19, 2013

Practice Location

Address
57 SOUTH MAIN
City
Loa
State
Utah
ZIP Code
84747
Phone
(435) 624-3304

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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