Individual provider · Type 1 NPI

Miriam Lizeth Flores Portillo

Professional Counselor · Modesto, CA

NPI number 1699449256 Active

Practice location

2000 W Briggsmore Ave
Modesto, CA 95350-3839

Mailing address

2314 Chatka Ln
San Bernardino, CA 92410-2000

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1699449256

Miriam Lizeth Flores Portillo's National Provider Identifier is 1699449256, issued on Aug 5, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on May 15, 2025.