Individual
ERIKA LANETTE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LMHP-R
Contact information
Practice address
3541 CHAIN BRIDGE RD STE 204, FAIRFAX, VA 22030-2793
(703) 218-6599
(703) 218-2012
Mailing address
3541 CHAIN BRIDGE RD STE 204, FAIRFAX, VA 22030-2793
(703) 218-6599
(703) 218-2012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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