Individual
MAYRA MARCELA PORTILLO ARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 N 2ND ST, WAUSAU, WI 54403-3492
(715) 848-4884
Mailing address
948 S 7TH AVE, WAUSAU, WI 54401-6065
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1189-228
WI
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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