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1407427016
KATIE PORTILLO
ATLANTA, GA
NPI
1407427016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC014054)
Enumeration Date
2021-07-06
Last Update Date
2024-03-11
Business Address
KATIE PORTILLO LPC
1150 COLLIER RD NW APT N4
ATLANTA, GA 30318-2964
Phone number: 404-482-1516
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Mailing Address
KATIE PORTILLO LPC
1150 COLLIER RD NW APT N4
ATLANTA, GA 30318-2964
Phone number: 404-482-1516
Copy
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