Individual provider · Type 1 NPI

Lisa Yvette Porter

Mental Health Counselor · Gautier, MS

NPI number 1225758329 Active

Practice location

3407 Shamrock Ct
Gautier, MS 39553-5337

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225758329

Lisa Yvette Porter's National Provider Identifier is 1225758329, issued on Aug 30, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gautier, MS. The record was last updated on Aug 30, 2022.