Individual
SILVIA PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 CABLE PL, FRONT ROYAL, VA 22630-3019
(240) 643-8756
Mailing address
315 CABLE PL, FRONT ROYAL, VA 22630-3019
(240) 643-8756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013095
VA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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