NICHOLAS PORTA, PSYD

PSYD

Psychologist

NPI: 1013387687Individual

Specialties, Licenses & Credentials

Professional Counselor

Counselor — Professional

Code: 101YP2500X

2015033025(MO)

PsychologistPrimary

Psychologist

Code: 103T00000X

P0000003473(TN)

Contact & Hours

Address: 2514 1/2 WESLEY ST STE 2
JOHNSON CITY, TN 37601
Phone: (423) 529-0385

Quick Facts

NPI: 1013387687
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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