Shanan Porter
Shanan Porter is an Addiction (Substance Use Disorder) Counselor in East Hazel Crest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1909 Cheker SqEast Hazel Crest, IL 60429-1442
Phone: (708) 647-3518
Fax: (708) 476-2854
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1528590478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2017 |
| Last updated in NPPES | March 30, 2017 |
| Mailing address | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 |
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