AMANDA RAQUEL PORTILLO

FAIRFIELD, CA
NPI1255882577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  95665)
Enumeration Date2016-10-21
Last Update Date2016-10-27
Business Address
-- AMANDA RAQUEL PORTILLO MFTI
1234 EMPIRE ST SUITE 2300
FAIRFIELD, CA 94533-5711
Phone number: 707-384-7303
Mailing Address
-- AMANDA RAQUEL PORTILLO MFTI
1234 EMPIRE ST SUITE 2300
FAIRFIELD, CA 94533-5711
Phone number: 707-514-3764
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