Individual provider · Type 1 NPI

David Charles Port

Mental Health Counselor · Pullman, WA

NPI number 1376774786 Active

Practice location

340 NE Maple St
Pullman, WA 99163-4120

Call (509) 334-1133 Map

Fax (509) 332-1608

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00017858 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1376774786

David Charles Port's National Provider Identifier is 1376774786, issued on Aug 3, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pullman, WA. The record was last updated on Aug 3, 2009.