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Miss Jennie Isaura Portillo
Counselor in Anaheim, California
NPI 1255067658

Jennie Isaura Portillo is a Counselor based in Anaheim, CA. Jennie Isaura Portillo practices in Anaheim, CA. The NPI Number for Jennie Isaura Portillo is 1255067658 and holds a License No. 13621 (California).

The current practice location address for Jennie Isaura Portillo is 2035 E Ball Rd, Anaheim, CA and can be reached out via phone at 714-517-6300.

Location: 2035 E Ball Rd, Anaheim, CA, 92806-5159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255067658
Provider Name
Jennie Isaura Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2035 E Ball Rd, Anaheim, CA, 92806-5159
Phone Number
714-517-6300
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2035 E Ball Rd
City
Anaheim
State
California
Zip
92806-5159
Phone Number
714-517-6300
Fax Number
person
Provider Business Mailing Address Details
Address
2035 E Ball Rd
City
Anaheim
State
California
Zip
92806-5159
Phone Number
714-517-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
13621 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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