MRS. Willow Green Portela, LPC-A
NPI #1194360925 in Jefferson, North Carolina
Provider Information
- NPI Number
- 1194360925
- Entity Type
- Individual
- Name
- MRS. Willow Green Portela, LPC-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC-A
- Enumeration Date
- Nov 15, 2019
- Last Updated
- Nov 26, 2019
Practice Location
- Address
- 101 COLVARD ST
- City
- Jefferson
- State
- North Carolina
- ZIP Code
- 28640-9797
- Phone
- (336) 246-4542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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