Individual provider · Type 1 NPI
Michael Edgar Porter
Addiction (Substance Use Disorder) Counselor · Loa, UT
NPI number
1023358694
Active
Practice location
57 South Main
Loa, UT 84747
Mailing address
PO Box 120045
Antimony, UT 84712-0045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6890665-6006 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Loa
About NPI 1023358694
Michael Edgar Porter's National Provider Identifier is 1023358694, issued on Feb 19, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Loa, UT. The record was last updated on Feb 19, 2013.