William Douglas Portis, LCPCCADC
William Douglas Portis, LCPCCADC is an Addiction (Substance Use Disorder) Counselor in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
808 S Eldorado Rd Ste 100CBloomington, IL 61704-6075
Phone: (309) 889-6222
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180012458 (IL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 33398 (IL) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 178.009416 (IL) |
Record details
| NPI number | 1003316720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCPCCADC |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2018 |
| Last updated in NPPES | September 11, 2020 |
| Certification date | September 11, 2020 |
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