DANIELLE PORTER

ELLISVILLE, MS
NPI1033707294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  4611)
Enumeration Date2021-01-04
Last Update Date2021-01-04
Business Address
DANIELLE PORTER PCMHT
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437-5050
Phone number: 601-425-3439
Mailing Address
DANIELLE PORTER PCMHT
4100 MAMIE ST
HATTIESBURG, MS 39402-1735
Phone number: 601-705-1901
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