Individual
KARLA MELISSA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
26440 LA ALAMEDA STE 370, MISSION VIEJO, CA 92691-6363
(657) 229-4854
Mailing address
26440 LA ALAMEDA STE 370, MISSION VIEJO, CA 92691-6363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC8912
CA
101YP2500X
Professional Counselor
Primary
16836
CA
101YP2500X
Professional Counselor
APCC8912
CA
Other
Enumeration date
02/17/2021
Last updated
09/16/2024
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