Individual
ANA CHRISTINA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7297 RONSON RD STE H, SAN DIEGO, CA 92111-1428
(858) 278-6603
Mailing address
7297 RONSON RD STE H, SAN DIEGO, CA 92111-1428
(858) 278-6603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
08/23/2021
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