Individual provider · Type 1 NPI

Danielle Porter, PCMHT

Mental Health Counselor · Ellisville, MS

NPI number 1033707294 Active

Practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Call (601) 425-3439 Map

Mailing address

4100 Mamie St
Hattiesburg, MS 39402-1735

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4611 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1033707294

Danielle Porter, PCMHT's National Provider Identifier is 1033707294, issued on Jan 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellisville, MS. The record was last updated on Jan 4, 2021.