Harber Porter, Jeanne

Harber Porter, Jeanne is an individual health care provider with primary practice located at 4109 W Jefferson Blvd Ste A, Fort Wayne IN 46804-6894. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Harber Porter, Jeanne can be contacted via phone (260) 486-5251.

Contact Information

Primary practice address
4109 W Jefferson Blvd Ste A Fort Wayne IN 46804-6894
Phone: (260) 486-5251
Fax: (260) 486-5058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 34004475A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004475A Indiana

Profile Details

NPI number 1811982184
LBN Legal business name Harber Porter, Jeanne
Credentials LCSW, ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 3rd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811982184 NPPES
Other 0007385540 AETNA US HEALTHCARE
Other 2204791 AETNA US HEALTHCARE
Other 000000174858 AETNA US HEALTHCARE
MEDICAID 200522940A AETNA US HEALTHCARE
Other 58639900 AETNA US HEALTHCARE

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