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Mr. Ryan Troy Porter
Professional Counselor in Hainesville, Illinois
NPI 1811184955

Ryan Troy Porter is a Professional Counselor based in Hainesville, IL and is specialized in Professional. Ryan Troy Porter practices in Hainesville, IL. The NPI Number for Ryan Troy Porter is 1811184955 and holds a License No. 180005697 (Illinois).

The current practice location address for Ryan Troy Porter is 513 Deer Crossing Ct, Hainesville, IL and can be reached out via phone at 847-971-3579.

Location: 513 Deer Crossing Ct, Hainesville, IL, 60030-3855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811184955
Provider Name
Ryan Troy Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
513 Deer Crossing Ct, Hainesville, IL, 60030-3855
Phone Number
847-971-3579
Fax Number
Provider Enumeration Date
10/03/2007
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
513 Deer Crossing Ct
City
Hainesville
State
Illinois
Zip
60030-3855
Phone Number
847-971-3579
Fax Number
person
Provider Business Mailing Address Details
Address
513 Deer Crossing Ct
City
Hainesville
State
Illinois
Zip
60030-3855
Phone Number
847-971-3579
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180005697 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180005697 (Illinois)
Definition
Definition to come...
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