Organization · Type 2 NPI

Ryan T Porter

Professional Counselor · Libertyville, IL

NPI number 1487104667 Active

Practice location

150 E Cook Ave, Suite 105
Libertyville, IL 60048-2060

Call (847) 971-3579 Map

Mailing address

513 Deer Crossing Ct
Hainesville, IL 60030-3855

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180005697 (IL)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1487104667

Ryan T Porter's National Provider Identifier is 1487104667, issued on Oct 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Libertyville, IL. The record was last updated on Oct 11, 2016.