Search › Wisconsin › 101YP2500X
Jesse Portillo, LPC
NPI 1962136879 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1191 Huntington Ave
Wisconsin Rapids, WI 54494 - Phone
- (715) 818-6465
- Organisation at this address
- Opportunity Development Centers, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin