person
Mrs. Willow Green Portela, LPC-A
Professional Counselor in Jefferson, North Carolina
NPI 1194360925

Willow Green Portela is a Professional Counselor based in Concord, NC and is specialized in Professional. Willow Green Portela practices in Jefferson, NC and has the professional credentials of LPC-A. The NPI Number for Willow Green Portela is 1194360925 and holds a License No. A15333 (North Carolina).

The current practice location address for Willow Green Portela is 101 Colvard St, Jefferson, NC and can be reached out via phone at 336-246-4542 and via fax at 336-246-2364.

Location: 101 Colvard St, Jefferson, NC, 28025-1833
person
Provider Profile Details
NPI Number
1194360925
Provider Name
Willow Green Portela
Credential
LPC-A
Provider Entity Type
Individual
Gender
Female
Address
101 Colvard St, Jefferson, NC, 28025-1833
Phone Number
336-246-4542
Fax Number
336-246-2364
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Colvard St
City
State
Zip
28640-9797
Phone Number
336-246-4542
Fax Number
336-246-2364
person
Provider Business Mailing Address Details
Address
101 Colvard St
City
State
Zip
28640-9797
Phone Number
336-246-4542
Fax Number
336-246-2364
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A15333 (North Carolina)
Definition
Definition to come...
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