Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE PORTILLO, LPC
Active Sole ProprietorJESSE PORTILLO, LPC is a Professional Counselor healthcare provider located in WISCONSIN RAPIDS, Wisconsin. NPI 1962136879 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · WISCONSIN RAPIDS, WI
Registration Details
- NPI Number
- 1962136879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2022 (4.0808621183731 yrs)
- Last Updated
- Jul 29, 2024
- Licenses
-
20463-130 (WI)11211-125 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1191 HUNTINGTON AVEWISCONSIN RAPIDS, WI, 544946364Browse WI providers · Browse ZIP 54494
- Phone
- 7158186465
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in WISCONSIN RAPIDS, WI
| Name | Credential | NPI |
|---|---|---|
| M JO YESKE-BISHOP | LPC | 1396778049 |
| MS. MARY L READEL | MS | 1780750059 |
| MR. RICHARD W HADFIELD | MS | 1760558118 |
| MS. BETH LOUISE SULLIVAN | MS | 1760558175 |
| JESSICA LEE GILBERT | LPC | 1629343546 |
| MR. BRIAN SADLER | LPC | 1407102544 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.