SearchIdaho104100000X

Christina Porter, LCSW

NPI 1699184887 · on the registry since 2014 · sole proprietor

Practice

Address
8647 W Lillywood St
Boise, ID 83709
Phone
(208) 703-2212

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho