Individual provider · Type 1 NPI

Jeanine Gladys Porter

Addiction (Substance Use Disorder) Counselor · Willmar, MN

NPI number 1649519091 Active

Practice location

328 3rd St SW
Willmar, MN 56201-3475

Call (320) 231-9763 Map

Fax (320) 235-0334

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301951 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649519091

Jeanine Gladys Porter's National Provider Identifier is 1649519091, issued on Feb 5, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Willmar, MN. The record was last updated on Feb 5, 2013.