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1134784143 NPI number — CINDI MICHELE PORTER AAC

NPI Number: 1134784143
Health Care Provider/Practitioner: CINDI MICHELE PORTER AAC

Information about “1134784143” NPI (CINDI MICHELE PORTER AAC) exists in 1134784143 in HTML format HTML  |  1134784143 in plain Text format TXT  |  1134784143 in PDF (Portable Document Format) PDF  |  1134784143 in an XML format XML  formats.

NPI Number : 1134784143 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134784143",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PORTER",
    "FirstName": "CINDI",
    "MiddleName": "MICHELE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "COMPREHENSIVE LIFE RESOURCES",
    "SecondLineMailingAddress": "1305 TACOMA AVENUE SOUTH",
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98402-1903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2428 W REYNOLDS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CENTRALIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98531-4554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-623-8020",
    "PracticeLocationAddressFaxNumber": "360-623-1084",
    "EnumerationDate": "05/06/2019",
    "LastUpdateDate": "12/12/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "CG60806049",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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