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1699223313
KATHERINE PORTILLO
LEAGUE CITY, TX
NPI
1699223313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12973)
Enumeration Date
2016-09-12
Last Update Date
2022-07-11
Business Address
KATHERINE PORTILLO M.Ed., LCDC, LPC
2555 S SHORE BLVD STE C
LEAGUE CITY, TX 77573-2934
Phone number: 281-415-7941
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Mailing Address
KATHERINE PORTILLO M.Ed., LCDC, LPC
1284 EVENING BAY LN
LEAGUE CITY, TX 77573-9082
Phone number: 281-415-7941
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