Individual provider · Type 1 NPI
Tarrell L. Portman, PhD
Mental Health Counselor · Riverside, IA
NPI number
1427301209
Active
Practice location
361 East First Street
Riverside, IA 52327-9688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 00729 (IA) |
| Professional Counselor | 101YP2500X | 001247 (MO) |
Mental Health Counselor: Definition to come...
About NPI 1427301209
Tarrell L. Portman, PhD's National Provider Identifier is 1427301209, issued on Oct 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, IA. The record was last updated on Oct 19, 2012.