Logan Mitchell Porter, CL61310165
Logan Mitchell Porter, CL61310165 is a Counselor in Lacey, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2022
Practice location Address checks out
4419 21st Ct SELacey, WA 98503-7036
Phone: (253) 777-7269
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 61310165 (WA) |
|---|
Record details
| NPI number | 1114647328 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CL61310165 |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2022 |
| Last updated in NPPES | August 29, 2022 |
| Certification date | August 29, 2022 |
| Mailing address | 4419 21st Ct Se, Lacey, WA 98503-7036 |
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