Individual
MR. RYAN TROY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180005697
IL
101YP2500X
Professional Counselor
180005697
IL
101YP2500X
Professional Counselor
Primary
LPC-23103
AZ
Other
Enumeration date
10/03/2007
Last updated
05/14/2025
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