CARLOS PORTILLO

WOODLAND HILLS, CA
NPI1679053342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  112333)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R12361610816)
Enumeration Date2018-08-21
Last Update Date2023-03-02
Business Address
CARLOS PORTILLO
20501 VENTURA BLVD
WOODLAND HILLS, CA 91364-2337
Phone number: 818-826-0253
Mailing Address
CARLOS PORTILLO
20501 VENTURA BLVD STE 170
WOODLAND HILLS, CA 91364-6258
Phone number: 818-826-0253