Carly Portillo
Carly Portillo is a Marriage & Family Therapist in Costa Mesa, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2651 Irvine Ave Ste 122Costa Mesa, CA 92627-6645
Phone: (714) 507-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 127855 (CA) |
|---|
Record details
| NPI number | 1306529615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 11, 2023 |
| Last updated in NPPES | August 11, 2023 |
| Certification date | August 11, 2023 |
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