Individual
MICHAEL PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 WESTINGHOUSE RD STE 1150, GEORGETOWN, TX 78626-7645
(512) 402-3037
Mailing address
201 RABERN CT APT 1722, BELTON, TX 76513-1931
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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