Organization
AUTHENTIC CONNECTIONS PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRINE PORTILLO PSY.D (PRESIDENT)
(530) 536-0663
Entity
Organization
Contact information
Practice address
10368 DONNER PASS RD, TRUCKEE, CA 96161-0427
(530) 536-0663
Mailing address
11260 DONNER PASS RD. STE C1, PMB 635, TRUCKEE, CA 96161
(530) 536-0663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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