Organization
PORTILLO GENESIS THERAPY PLLC
Active
Other names
Genesis Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA PORTILLO (OWNER)
(775) 295-5114
Entity
Organization
Contact information
Practice address
732 S 6TH ST STE R, LAS VEGAS, NV 89101-6948
(775) 295-5114
Mailing address
1295 GRAND SUMMIT DR APT G252, RENO, NV 89523-2597
(775) 295-5114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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