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Ryan T Porter
Professional Counselor in Libertyville, Illinois
NPI 1487104667

Ryan T Porter is a Professional Counselor based in Hainesville, IL and is specialized in Professional. Ryan T Porter practices in Libertyville, IL. The NPI Number for Ryan T Porter is 1487104667 and holds a License No. 180005697 (Illinois).

The current practice location address for Ryan T Porter is 150 E Cook Ave, Libertyville, IL and can be reached out via phone at 847-971-3579.

Location: 150 E Cook Ave, Libertyville, IL, 60030-3855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487104667
Provider Name
Ryan T Porter
Credential
Provider Entity Type
Organization
Address
150 E Cook Ave, Libertyville, IL, 60030-3855
Phone Number
847-971-3579
Fax Number
Provider Enumeration Date
10/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 E Cook Ave
City
Libertyville
State
Illinois
Zip
60048-2060
Phone Number
847-971-3579
Fax Number
person
Provider Business Mailing Address Details
Address
150 E Cook Ave
City
Libertyville
State
Illinois
Zip
60048-2060
Phone Number
847-971-3579
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180005697 (Illinois)
Definition
Definition to come...
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