NPI 1003316720

William Douglas Portis, LCPCCADC

Practitioner Mental Health Counselor Bloomington, IL

Practice location

Address: 808 S Eldorado Rd STE 100c, Bloomington, IL 61704-6075
Phone: (309) 889-6222
Mailing address: 1 Plantation CT, Bloomington, IL 61704-9467

Registered specialties (3)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 180012458 (IL)

Other Counselor providers in Illinois →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 33398 (IL)

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 178.009416 (IL)

Registry record

NPI: 1003316720
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2018
Record last updated: 11 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.