Individual
DEBRA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3146 W JEROME ST, CHICAGO, IL 60645-1143
(773) 456-2097
Mailing address
3146 W JEROME ST, CHICAGO, IL 60645-1143
(773) 456-2097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011524
IL
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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