Individual provider · Type 1 NPI
Bethany Porter, LCSW
Mental Health Counselor · Equality, IL
NPI number
1174102891
Active
Practice location
2161 Old Highway 13
Equality, IL 62934-2035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149023108 (IL) |
Mental Health Counselor: Definition to come...
About NPI 1174102891
Bethany Porter, LCSW's National Provider Identifier is 1174102891, issued on Apr 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Equality, IL. The record was last updated on Dec 28, 2022.