person
Jesse Portillo
Professional Counselor in Wisconsin Rapids, Wisconsin
NPI 1962136879

Jesse Portillo is a Professional Counselor based in Wisconsin Rapids, WI and is specialized in Professional. Jesse Portillo practices in Wisconsin Rapids, WI. The NPI Number for Jesse Portillo is 1962136879 and holds a License No. 7040-226 (Wisconsin).

The current practice location address for Jesse Portillo is 1191 Huntington Ave, Wisconsin Rapids, WI and can be reached out via phone at 715-213-3570.

Location: 1191 Huntington Ave, Wisconsin Rapids, WI, 54494-6364
person
Provider Profile Details
NPI Number
1962136879
Provider Name
Jesse Portillo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1191 Huntington Ave, Wisconsin Rapids, WI, 54494-6364
Phone Number
715-213-3570
Fax Number
Provider Enumeration Date
07/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1191 Huntington Ave
City
State
Zip
54494-6364
Phone Number
715-213-3570
Fax Number
person
Provider Business Mailing Address Details
Address
1191 Huntington Ave
City
State
Zip
54494-6364
Phone Number
715-213-3570
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7040-226 (Wisconsin)
Definition
Definition to come...
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