Individual
ADRIANA PORTILLO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFT, PCC
Contact information
Practice address
21455 BIRCH ST, STE 201, HAYWARD, CA 94541-2165
(510) 583-0414
(510) 583-0410
Mailing address
21455 BIRCH ST, STE 201, HAYWARD, CA 94541-2165
(510) 583-0414
(510) 583-0410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
06/12/2023
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