Individual
ASHLEY NICHOLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 N MILL ST STE 100, NAPERVILLE, IL 60563-2047
(630) 646-8000
Mailing address
1335 N MILL ST STE 100, NAPERVILLE, IL 60563-2047
(630) 646-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
150.107002
IL
104100000X
Social Worker
150.107002
IL
1041C0700X
Clinical Social Worker
Primary
149027243
IL
Other
Enumeration date
04/24/2023
Last updated
06/14/2024
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