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LOGAN MITCHELL PORTER CL 61310165
NPI 1114647328
Counselor in Lacey, WA

Active since August 29, 2022
4419 21ST CT SE, LACEY, WA 98503(253) 777-7269 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Logan Mitchell Porter Cl 61310165 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN MITCHELL PORTER CL 61310165 (NPI 1114647328) is an individual counselor in Lacey, Washington, licensed in Washington (61310165) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114647328
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameLOGAN MITCHELL PORTERCredential: CL 61310165
Location Address4419 21ST CT SELacey, WA 98503-7036
Mailing Address4419 21st Ct SeLacey, WA 98503-7036 · (253) 777-7269
Phone(253) 777-7269
Sole ProprietorYes
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1114647328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 61310165
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4419 21ST CT SE, Lacey, WA 98503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Porter's NPI number?

The NPI number for Logan Porter is 1114647328. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Logan Porter located?

Logan Porter practices at 4419 21st Ct SE, Lacey, WA 98503. The listed phone number is (253) 777-7269.

What is Logan Porter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Logan Porter was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.