Angel Nicole Porter, MA, LCMHC
Counselor, Mental Health in Raleigh, NC. Individual provider (NPI-1).
NPI number1295246783
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1295246783
- Entity type
- Individual (NPI-1)
- Name
- Angel Nicole Porter
- Credential
- MA, LCMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2017
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 13428 | NC | Yes |
| 101YP2500X | Counselor, Professional | 13428 | NC |
Practice location
2920 Forestville Rd Ste 100-1212Raleigh, NC 27616-8774
Phone 910-939-1025
Mailing address
4944 Brown DrKailua, HI 96734-6259
Phone 910-939-1025
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