Colleen Porter, LCMHC, LMHC, LCPC

Individual provider Active NPI Mental Health Counselor · Warner, NH

NPI 1124676101 · NPPES record last updated Apr 29, 2024

Key facts

NPI
1124676101
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2126 (NH)
Practice address
53 W Roby District Rd
Warner, NH 03278-4115
Phone
(603) 945-2028
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10311MAMDMental Health Counselor
CC6888MEMDMental Health Counselor
2126NHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10311 MA
Mental Health Counselor 101YM0800X 2126 NH Yes
Mental Health Counselor 101YM0800X CC6888 ME

Addresses

Primary practice location

53 W Roby District Rd
Warner, NH 03278-4115

Mailing address

53 W Roby District Rd
Warner, NH 03278-4115
Phone (603) 945-2028

Other providers in Warner, NH

All providers in Warner, NH · Mental Health Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.