William Douglas Portis, LCPC CADC
NPI #1003316720 in Bloomington, Illinois
Provider Information
- NPI Number
- 1003316720
- Entity Type
- Individual
- Name
- William Douglas Portis, LCPC CADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCPC CADC
- Enumeration Date
- Feb 19, 2018
- Last Updated
- Sep 11, 2020
Practice Location
- Address
- 808 S ELDORADO RD STE 100C
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6075
- Phone
- (309) 889-6222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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