Individual provider · Type 1 NPI
Constance D. Porter
Mental Health Counselor · Homewood, IL
NPI number
1629924139
Active
Practice location
19150 Kedzie Ave Ste 200
Homewood, IL 60430-4541
Fax (708) 274-1982
Mailing address
1245 N Arbogast St
Griffith, IN 46319-1842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149.031459 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1629924139
Constance D. Porter's National Provider Identifier is 1629924139, issued on Mar 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Homewood, IL. The record was last updated on Mar 6, 2026.