Alyssa Jane Porter LAC

NPI 1437430170 - Counselor - 101YA0400X

NPI Details
NPI 1437430170
Gender Female
Enumeration Date 09/08/2011
Last Updated 10/22/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
555 N WOODLAWN ST
102
WICHITA KS, 67208-3646, US
Phone (316) 652-2590
Fax (316) 652-2595
Business Location
555 N WOODLAWN ST
3105
WICHITA KS, 67208-3646, US
Phone (316) 652-2590
Fax (316) 652-2595
Toxanomy
Taxonomy Code 101YA0400X
License State Kansas
License Number 661
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According to our database, Miss Alyssa Jane Porter LAC NPI is 1437430170, taxonomy code is 101YA0400X and license number is 661, license state is located at Kansas. Alyssa Jane Porter LAC physically located at 555 N Woodlawn St, Wichita KS, 67208-3646. NPI Number Alyssa Jane Porter LAC has the Individual type.

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1437430170 NPI number is provided on an as is basis without warranty of any kind. 1437430170 is maintained by the National Plan & Provider Enumeration System. The contents of Alyssa Jane Porter LAC are for informational purposes only.