person
William Douglas Portis, LCPCCADC
Mental Health Counselor in Bloomington, Illinois
NPI 1003316720

William Douglas Portis is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. William Douglas Portis practices in Bloomington, IL and has the professional credentials of LCPCCADC. The NPI Number for William Douglas Portis is 1003316720 and holds a License No. 33398 (Illinois).

The current practice location address for William Douglas Portis is 808 S Eldorado Rd Ste 100C, Bloomington, IL and can be reached out via phone at 309-889-6222.

Location: 808 S Eldorado Rd Ste 100C, Bloomington, IL, 61704-9467
person
Provider Profile Details
NPI Number
1003316720
Provider Name
William Douglas Portis
Credential
LCPCCADC
Provider Entity Type
Individual
Gender
Male
Address
808 S Eldorado Rd Ste 100C, Bloomington, IL, 61704-9467
Phone Number
309-889-6222
Fax Number
Provider Enumeration Date
02/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
808 S Eldorado Rd Ste 100C
City
State
Zip
61704-6075
Phone Number
309-889-6222
Fax Number
person
Provider Business Mailing Address Details
Address
808 S Eldorado Rd Ste 100C
City
State
Zip
61704-6075
Phone Number
309-889-6222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178.009416 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
33398 (Illinois)
Definition
Definition to come...
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