Individual provider · Type 1 NPI

Kelly Laporte, M.A, L.P.C., C.A.D.C

Professional Counselor · Park Ridge, IL

NPI number 1235408618 Active

Practice location

36 Main St, Suite 106
Park Ridge, IL 60068-4059

Fax (888) 440-2577

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.007762 (IL)

Professional Counselor: Definition to come...

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About NPI 1235408618

Kelly Laporte, M.A, L.P.C., C.A.D.C's National Provider Identifier is 1235408618, issued on Dec 14, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park Ridge, IL. The record was last updated on Dec 14, 2011.