Erika Lanette Portillo, M.Ed, LMHP-R
Counselor, Mental Health in Fairfax, VA. Individual provider (NPI-1).
NPI number1003322652
StatusActive
Last updated in NPPESDec 19, 2017
Details
- NPI
- 1003322652
- Entity type
- Individual (NPI-1)
- Name
- Erika Lanette Portillo
- Credential
- M.Ed, LMHP-R
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2017
- Last updated
- Dec 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3541 Chain Bridge Rd Ste 204Fairfax, VA 22030-2793
Phone 703-218-6599 · Fax 703-218-2012
Mailing address
3541 Chain Bridge Rd Ste 204Fairfax, VA 22030-2793
Phone 703-218-6599 · Fax 703-218-2012
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