DR. Loral Lee Portenier, LCPC

NPI #1134542533 in Stockton, Kansas

Provider Information

NPI Number
1134542533
Entity Type
Individual
Name
DR. Loral Lee Portenier, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Jan 22, 2014
Last Updated
Jan 22, 2014

Practice Location

Address
620 N CEDAR ST
State
Kansas
ZIP Code
67669-1326
Phone
(785) 425-7003

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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