| Ryan Porter, | |
|
1974 Nicholson Walton Pike, Independence, KY 41051 | |
| (859) 359-5404 | |
| Not Available |
| Full Name | Ryan Porter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1974 Nicholson Walton Pike, Independence, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154097376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Porter, 1974 Nicholson Walton Pike, Independence, KY 41051 Ph: (859) 359-5404 | Ryan Porter, 1974 Nicholson Walton Pike, Independence, KY 41051 Ph: (859) 359-5404 |
Samantha M West, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 800-805-6989 | |
Amanda Lee Flanagan, T-CDAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 800-805-6989 | |
Ms. Diane Marie Lottman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 859-359-5404 | |
Cynthia Ann Auer, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 800-805-6989 | |
Shawnee Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 859-359-5404 | |
Mr. Demetrius Thompson Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 859-359-5404 Fax: 859-359-0739 |