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Individual

MS. JAZMIN CLAUDIA PORTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
300 3RD AVE SE STE 206-02, ROCHESTER, MN 55904-4619
(507) 906-0348
Mailing address
300 3RD AVE SE STE 206-02, ROCHESTER, MN 55904-4619
(507) 906-0348
(507) 322-1702

Taxonomy

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

Other

Enumeration date
08/15/2022
Last updated
05/09/2026
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