Authentic Connections Psychotherapy, Inc.

NPI #1255084745 in Truckee, California

Provider Information

NPI Number: 1255084745
Entity Type: Organization
Organization Name: Authentic Connections Psychotherapy, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Feb 3, 2022
Last Updated: Feb 3, 2022

Practice Location

Address: 10368 DONNER PASS RD
City: Truckee
State: California
ZIP Code: 96161-0427
Phone: (530) 536-0663

Authorized Official

Name: PERRINE PORTILLO, PSY.D
Title: PRESIDENT
Phone: (530) 536-0663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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