CARLY PORTILLO

COSTA MESA, CA
NPI1306529615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  127855)
Enumeration Date2023-08-11
Last Update Date2023-08-11
Business Address
CARLY PORTILLO
2651 IRVINE AVE STE 122
COSTA MESA, CA 92627-6645
Phone number: 714-507-6884
Mailing Address
CARLY PORTILLO
2651 IRVINE AVE STE 122
COSTA MESA, CA 92627-6645
Phone number: 714-507-6884