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Laura Daniela Portillo
Counselor in San Mateo, California
NPI 1578174066

Laura Daniela Portillo is a Counselor based in San Mateo, CA. Laura Daniela Portillo practices in San Mateo, CA. The NPI Number for Laura Daniela Portillo is 1578174066 and holds a License No. 119690 (California).

The current practice location address for Laura Daniela Portillo is 307 2Nd Ave, San Mateo, CA and can be reached out via phone at 650-204-3842.

Location: 307 2Nd Ave, San Mateo, CA, 94401-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578174066
Provider Name
Laura Daniela Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
307 2Nd Ave, San Mateo, CA, 94401-3905
Phone Number
650-204-3842
Fax Number
Provider Enumeration Date
08/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
135035 01 CA LMFT
institution
Provider Business Practice Location Address Details
Address
307 2Nd Ave
City
San Mateo
State
California
Zip
94401-3905
Phone Number
650-204-3842
Fax Number
person
Provider Business Mailing Address Details
Address
307 2Nd Ave
City
San Mateo
State
California
Zip
94401-3905
Phone Number
650-204-3842
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
119690 (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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