Dwight A Porter, LPC
NPI #1194158220 in Union City, Georgia
Provider Information
- NPI Number
- 1194158220
- Entity Type
- Individual
- Name
- Dwight A Porter, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 13, 2013
- Last Updated
- Aug 13, 2013
Practice Location
- Address
- 4405 MALL BLVD
- Address 2
- SUITE 200
- City
- Union City
- State
- Georgia
- ZIP Code
- 30291-2044
- Phone
- (770) 969-4309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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