Individual
CARLA PORTER-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
19710 GOVERNORS HWY STE 9, FLOSSMOOR, IL 60422-2081
(708) 955-0171
Mailing address
19710 GOVERNORS HWY STE 9, FLOSSMOOR, IL 60422-2081
(708) 955-0171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009984
IL
Other
Enumeration date
02/17/2010
Last updated
07/06/2016
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