IndividualActive
Michael Porter
NPI 1023358694 · Addiction (Substance Use Disorder) Counselor · Loa, UT
Provider details
- NPI number
- 1023358694
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6890665-6006 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
57 South Main
Loa, UT 84747
Phone: (435) 624-3304
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 120045
Antimony, UT 84712-0045
Registry dates
- Enumerated
- 2013-02-19
- Last updated
- 2013-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.