Individual
CATHERINE M PORTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 BROADWAY, BROOKLYN, NY 11206-5316
(929) 273-7601
Mailing address
2291 UTICA AVE, BROOKLYN, NY 11234-3829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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