Individual provider · Type 1 NPI
Jacqueline N. Portillo
Mental Health Counselor · Denver, CO
NPI number
1962065888
Active
Practice location
1460 Perry St
Denver, CO 80204-1439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 94-125-0809 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1962065888
Jacqueline N. Portillo's National Provider Identifier is 1962065888, issued on Apr 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Denver, CO. The record was last updated on Apr 16, 2019.