MR. RUSSELL PORTER, M.A.

Counselor - Mental Health

Active Individual
NPI: 1316996689

Practice Address

13800 PARK BLVD
SWT 200
Seminole, FL 33776

Phone: (727) 398-9799

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes MH3873 (FL)

Frequently Asked Questions

NPI 1316996689 is the National Provider Identifier for MR. RUSSELL PORTER, M.A., a Counselor - Mental Health provider located in Seminole, FL. This NPI was enumerated on May 6, 2006.
MR. RUSSELL PORTER, M.A. practices at 13800 PARK BLVD, SWT 200, Seminole, FL 33776.

Quick Facts

NPI
1316996689
Type
Individual
Enumerated
May 6, 2006
Last Updated
Jul 8, 2007

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