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1003322652
ERIKA LANETTE PORTILLO
FAIRFAX, VA
NPI
1003322652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
ERIKA LANETTE PORTILLO M.Ed, LMHP-R
3541 CHAIN BRIDGE RD STE 204
FAIRFAX, VA 22030-2793
Phone number: 703-218-6599
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Mailing Address
ERIKA LANETTE PORTILLO M.Ed, LMHP-R
3541 CHAIN BRIDGE RD STE 204
FAIRFAX, VA 22030-2793
Phone number: 703-218-6599
Copy
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