Individual
KATHERINE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LCDC, LPC
Contact information
Practice address
2555 S SHORE BLVD STE C, LEAGUE CITY, TX 77573-2934
(281) 415-7941
(409) 750-2039
Mailing address
1284 EVENING BAY LN, LEAGUE CITY, TX 77573-9082
(281) 415-7941
(631) 998-4645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12973
TX
Other
Enumeration date
09/12/2016
Last updated
07/11/2022
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