Individual
BRANDY IVETTE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
442 BIRCHWOOD DR, GARLAND, TX 75043
(832) 552-5280
Mailing address
442 BIRCHWOOD DR, GARLAND, TX 75043-3007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100434
TX
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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