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1891264891
JENNIFER PORTILLO
LA HABRA, CA
NPI
1891264891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 99515)
Enumeration Date
2018-11-19
Last Update Date
2022-10-28
Business Address
JENNIFER PORTILLO
601 E IMPERIAL HWY
LA HABRA, CA 90631-7463
Phone number: 714-644-6480
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Mailing Address
JENNIFER PORTILLO
601 E IMPERIAL HWY
LA HABRA, CA 90631-7463
Phone number: 714-644-6480
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