RYAN PORTER

INDEPENDENCE, KY
NPI1154097376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-18
Last Update Date2021-08-18
Business Address
RYAN PORTER
1974 NICHOLSON WALTON PIKE
INDEPENDENCE, KY 41051
Phone number: 859-359-5404
Mailing Address
RYAN PORTER
1974 NICHOLSON WALTON PIKE
INDEPENDENCE, KY 41051
Phone number: 859-359-5404
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