MR. Jonathan Michael Portillo, LPC
NPI #1972226793 in Broomfield, Colorado
Provider Information
- NPI Number
- 1972226793
- Entity Type
- Individual
- Name
- MR. Jonathan Michael Portillo, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Sep 26, 2022
Practice Location
- Address
- 80 GARDEN CTR STE 48
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-1777
- Phone
- (720) 336-0675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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