| Stephanie Porter | |
|
320 Osuna Rd Ne Ste H-4 Albuquerque NM 87107-5952 | |
| (505) 345-2778 | |
| Not Available |
| Full Name | Stephanie Porter |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 Osuna Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephanie Z Porter (LAMFT) |
| Authorized Official Contact | 5054536235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Porter 320 Osuna Rd Ne Ste H-4 Albuquerque NM 87107-5952 Ph: (505) 345-2778 | Stephanie Porter 320 Osuna Rd Ne Ste H-4 Albuquerque NM 87107-5952 Ph: (505) 345-2778 |
| NPI Number | 1144778671 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144778671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | T-0182791 (New Mexico) | Primary |
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