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Individual

JASMIN PORTAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 N WABASH AVE STE 515, CHICAGO, IL 60602-4818
(313) 312-5010
Mailing address
1614 N PAULINA ST, CHICAGO, IL 60622-1404
(310) 430-3048

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/06/2023
Last updated
07/06/2023
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