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1346940301
PRISCILLA MONIQUE PORTILLO
SANTA FE SPRINGS, CA
NPI
1346940301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA SUDRC12521)
Enumeration Date
2023-03-08
Last Update Date
2023-03-08
Business Address
PRISCILLA MONIQUE PORTILLO
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
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Mailing Address
PRISCILLA MONIQUE PORTILLO
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
Copy
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