Individual provider · Type 1 NPI
Tangenise Sharane Porter, LPC
Mental Health Counselor · Oak Forest, IL
NPI number
1912244153
Active
Practice location
15900 S Cicero Building B12, Oak Forest Hospital
Oak Forest, IL 60452
Fax (708) 633-2034
Mailing address
6449 S Greenwood, Unit 1
Chicago, IL 60637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 178.007552 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1912244153
Tangenise Sharane Porter, LPC's National Provider Identifier is 1912244153, issued on Jan 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oak Forest, IL. The record was last updated on Jan 8, 2013.