Individual provider · Type 1 NPI

Dwight A. Porter, LPC

Professional Counselor · Union City, GA

NPI number 1194158220 Active

Practice location

4405 Mall Blvd, Suite 200
Union City, GA 30291-2044

Fax (770) 969-4170

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X006366 (GA)

Professional Counselor: Definition to come...

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About NPI 1194158220

Dwight A. Porter, LPC's National Provider Identifier is 1194158220, issued on Aug 13, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Union City, GA. The record was last updated on Aug 13, 2013.