Individual provider · Type 1 NPI

William Douglas Portis, LCPC CADC

Mental Health Counselor · Bloomington, IL

NPI number 1003316720 Active

Practice location

808 S Eldorado Rd Ste 100C
Bloomington, IL 61704-6075

Call (309) 889-6222 Map

Mailing address

1 Plantation Ct
Bloomington, IL 61704-9467

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X33398 (IL)
Mental Health Counselor 101YM0800X178.009416 (IL)
Mental Health Counselor Primary 101YM0800X180012458 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1003316720

William Douglas Portis, LCPC CADC's National Provider Identifier is 1003316720, issued on Feb 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Sep 11, 2020.