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General NPI Number Information
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NPI Number | 1932891025
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Entity Type | Organization
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Legal Business Name | CHRIS J. PORTER COUNSELING, PLLC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 115 2ND ST UNIT 657
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City | LANGLEY
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State | WA
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Zip | 98260-1925
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Country | US
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Telephone | 509-795-0518
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 657
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City | LANGLEY
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State | WA
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Zip | 98260-0657
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Country | US
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Telephone | 509-795-0518
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | CHRISTOPHER JASON PORTER
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Credential | MS, LMHC, MHP, NCC
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Telephone | 509-795-0518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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