Individual
JASMIN ESMERALDA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(720) 406-3625
Mailing address
5546 DRAKE ST, FREDERICK, CO 80504-9761
(720) 771-3095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09929589
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/04/2016
Last updated
08/09/2024
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