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Jacqueline N Portillo
Mental Health Counselor in Denver, Colorado
NPI 1962065888

Jacqueline N Portillo is a Mental Health Counselor based in Denver, CO and is specialized in Mental Health. Jacqueline N Portillo practices in Denver, CO. The NPI Number for Jacqueline N Portillo is 1962065888 and holds a License No. 94-125-0809 (Colorado).

The current practice location address for Jacqueline N Portillo is 1460 Perry St, Denver, CO and can be reached out via phone at 303-472-6221.

Location: 1460 Perry St, Denver, CO, 80204-1439
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Provider Profile Details
NPI Number
1962065888
Provider Name
Jacqueline N Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1460 Perry St, Denver, CO, 80204-1439
Phone Number
303-472-6221
Fax Number
Provider Enumeration Date
04/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104702318 01 CO CIGNA
institution
Provider Business Practice Location Address Details
Address
1460 Perry St
City
State
Zip
80204-1439
Phone Number
303-472-6221
Fax Number
person
Provider Business Mailing Address Details
Address
1460 Perry St
City
State
Zip
80204-1439
Phone Number
303-472-6221
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
94-125-0809 (Colorado)
Definition
Definition to come...
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