| Mr Michael Edgar Porter, | |
|
57 South Main, Loa, UT 84747 | |
| (435) 624-3304 | |
| Not Available |
| Full Name | Mr Michael Edgar Porter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 57 South Main, Loa, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023358694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6890665-6006 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Edgar Porter, Po Box 120045, Antimony, UT 84712-0045 Ph: (435) 624-3304 | Mr Michael Edgar Porter, 57 South Main, Loa, UT 84747 Ph: (435) 624-3304 |
Devon Christopher Nanton, SUDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 W. Main St, Loa, UT 84747 Phone: 435-836-2272 Fax: 435-836-2274 | |
Derek J Daley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 South Main St, Loa, UT 84747 Phone: 801-358-2974 | |
Michael Steven Petree, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 South Main Street, Loa, UT 84747 Phone: 435-836-2273 | |
Jake Giffuni, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1764 West Aspen Lane, Loa, UT 84747 Phone: 435-836-2272 | |
David Wieder, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1764 W Aspen Lane, Loa, UT 84747 Phone: 505-231-5031 | |
Ms. Veronica Malencia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1764 W Aspen Lane, Loa, UT 84747 Phone: 435-836-2272 |