Individual provider · Type 1 NPI
Marissa Portee, LPC
Mental Health Counselor · Dallas, GA
NPI number
1376328252
Active
Practice location
153 Rivulet Dr
Dallas, GA 30132-9322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC010134 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1376328252
Marissa Portee, LPC's National Provider Identifier is 1376328252, issued on Aug 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, GA. The record was last updated on Aug 29, 2023.