Individual
MARIA FERNANDA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, T-LMFT
Contact information
Practice address
4201 ANDERSON AVE STE D110, MANHATTAN, KS 66503-7603
(785) 539-5455
Mailing address
314 N 11TH ST APT J, MANHATTAN, KS 66502-5487
(512) 354-6705
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03664
KS
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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