Individual provider · Type 1 NPI
Clifford Porter, LPC
Professional Counselor · San Antonio, TX
NPI number
1740407022
Active
Practice location
903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Fax (210) 358-5944
Mailing address
PO Box 87
San Antonio, TX 78291-0087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 61111 (TX) |
Professional Counselor: Definition to come...
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About NPI 1740407022
Clifford Porter, LPC's National Provider Identifier is 1740407022, issued on Apr 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Oct 29, 2013.