MOLLY PORT, LPC
Counselor - Professional
Active
Individual
NPI: 1124431101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | LPC-16468 (AZ) |
Frequently Asked Questions
NPI 1124431101 is the National Provider Identifier for MOLLY PORT, LPC, a Counselor - Professional provider located in Lake Havasu City, AZ. This NPI was enumerated on June 6, 2014.
MOLLY PORT, LPC practices at 1930 MESQUITE AVE, SUITE # 1A, Lake Havasu City, AZ 86403.
Quick Facts
- NPI
- 1124431101
- Type
- Individual
- Enumerated
- Jun 6, 2014
- Last Updated
- Aug 30, 2019
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