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NPI Code Detail

MEDICARE: KIMBERLY ANN PORTER MA, LPCC-S

MEDICARE: KIMBERLY ANN PORTER MA, LPCC-S
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-0600692OH

General Provider Information

NPI Number : 1841489853
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN PORTER MA, LPCC-S
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 500
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1455
Country : US
Telephone Number : 513-231-6630
Fax Number :
Provider Business Practice Location Address
First Line : 615 ELSINORE PL STE 500
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1455
Country : US
Telephone Number : 859-231-6630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 09/08/2023

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Directions to “ KIMBERLY ANN PORTER MA, LPCC-S” Practice Location

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