Logan Mitchell Porter, CL 61310165

NPI #1114647328 in Lacey, Washington

Provider Information

NPI Number: 1114647328
Entity Type: Individual
Name: Logan Mitchell Porter, CL 61310165
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CL 61310165
Enumeration Date: Aug 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 4419 21ST CT SE
City: Lacey
State: Washington
ZIP Code: 98503-7036
Phone: (253) 777-7269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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