Individual provider · Type 1 NPI

Logan Mitchell Porter, CL 61310165

Counselor · Lacey, WA

NPI number 1114647328 Active

Practice location

4419 21st Ct SE
Lacey, WA 98503-7036

Call (253) 777-7269 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X61310165 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114647328

Logan Mitchell Porter, CL 61310165's National Provider Identifier is 1114647328, issued on Aug 29, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lacey, WA. The record was last updated on Aug 29, 2022.