SHANE C PORTER

NEW SMYRNA BEACH, FL
NPI1801858329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: FL  MH6409)
Enumeration Date2006-04-03
Last Update Date2007-07-08
Business Address
Mr. SHANE C PORTER LMHC
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169-5239
Phone number: 386-423-9161
Mailing Address
Mr. SHANE C PORTER LMHC
939 BOLTON RD
NEW SMYRNA BEACH, FL 32168-8403
Phone number: 386-423-9161
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