Individual provider · Type 1 NPI

Tiffany Renee Porter

Mental Health Counselor · Evergreen, AL

NPI number 1629705751 Active

Practice location

220 Magnolia Ave
Evergreen, AL 36401-3156

Fax (251) 575-9459

Mailing address

PO Box 964
Monroeville, AL 36461-0964

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629705751

Tiffany Renee Porter's National Provider Identifier is 1629705751, issued on Aug 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evergreen, AL. The record was last updated on Aug 8, 2022.