Individual provider · Type 1 NPI

Jennie Isaura Portillo

Counselor · Anaheim, CA

NPI number 1255067658 Active

Practice location

222 S Harbor Blvd Ste 400
Anaheim, CA 92805-3743

Call (714) 517-6300 Map

Fax (714) 517-6306

Mailing address

2035 E Ball Rd
Anaheim, CA 92806-5159

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X13621 (CA)

Counselor: 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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About NPI 1255067658

Jennie Isaura Portillo's National Provider Identifier is 1255067658, issued on Jul 27, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Anaheim, CA. The record was last updated on Feb 27, 2026.