Jennifer Lynn Porter, LCSW

NPI #1962889477 in Kellogg, Idaho

Provider Information

NPI Number: 1962889477
Entity Type: Individual
Name: Jennifer Lynn Porter, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 4, 2015
Last Updated: May 2, 2023

Practice Location

Address: 740 MCKINLEY AVE
City: Kellogg
State: Idaho
ZIP Code: 83837-2693
Phone: (208) 783-1267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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