JOSE PORTORREAL

BETHLEHEM, PA
NPI1972734374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-08-03
Last Update Date2009-08-03
Business Address
-- JOSE PORTORREAL
865 E 4TH ST
BETHLEHEM, PA 18015-1935
Phone number: 484-221-9136
Mailing Address
-- JOSE PORTORREAL
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136