Kimberli Porter

NPI #1588295356 in San Lorenzo, California

Provider Information

NPI Number: 1588295356
Entity Type: Individual
Name: Kimberli Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 17259 HESPERIAN BLVD STE 15
City: San Lorenzo
State: California
ZIP Code: 94580-3157
Phone: (510) 274-1621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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