JACQUELINE N PORTILLO

DENVER, CO
NPI1962065888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  94-125-0809)
Enumeration Date2019-04-16
Last Update Date2019-04-16
Business Address
JACQUELINE N PORTILLO
1460 PERRY ST
DENVER, CO 80204-1439
Phone number: 303-472-6221
Mailing Address
JACQUELINE N PORTILLO
1460 PERRY ST
DENVER, CO 80204-1439
Phone number: 303-472-6221