DR. LORAL LEE PORTENIER


Address: 620 N Cedar St, Stockton, KS 67669-1326
Phone: 7854257003

DR. LORAL LEE PORTENIER (NPI# 1134542533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134542533
Entity Type Individual
Full Name DR. LORAL LEE PORTENIER
Credential LCPC
Practice Address 620 N Cedar St
Stockton
KS 67669-1326
Practice Telephone 7854257003
Enumeration Date 2014-01-22
Last Update Date 2014-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
1081 MT Behavioral Health & Social Service Providers

Office Location

Street Address 620 N CEDAR ST
City STOCKTON
State KS
Zip Code 67669-1326

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1790830396 Pamela R. Wilson Pharmacy Technician 402 Main St, Stockton, KS 67669-1930 2007-01-24
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City STOCKTON
Zip Code 67669

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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