Individual
RYAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1974 NICHOLSON WALTON PIKE, INDEPENDENCE, KY 41051
(859) 359-5404
Mailing address
1974 NICHOLSON WALTON PIKE, INDEPENDENCE, KY 41051
(859) 359-5404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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