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NPI Code Detail

MEDICARE: ERICA JANE PORTER LPCC

MEDICARE:   ERICA JANE PORTER  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.2606064OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285283069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA JANE PORTER LPCC
Provider Business Mailing Address
First Line : 500 LEHMAN AVE STE 100
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-3068
Country : US
Telephone Number : 419-494-4643
Fax Number :
Provider Business Practice Location Address
First Line : 500 LEHMAN AVE STE 100
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-3068
Country : US
Telephone Number : 419-494-4643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 03/11/2026

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Directions to “ ERICA JANE PORTER LPCC” Practice Location

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