Jesse Portillo, LPC | |
1191 Huntington Ave, Wisconsin Rapids, WI 54494-6364 | |
(715) 818-6465 | |
Not Available |
Full Name | Jesse Portillo |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1191 Huntington Ave, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962136879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 20463-130 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 11211-125 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jesse Portillo, LPC 1191 Huntington Ave, Wisconsin Rapids, WI 54494-6364 Ph: (715) 213-3570 | Jesse Portillo, LPC 1191 Huntington Ave, Wisconsin Rapids, WI 54494-6364 Ph: (715) 818-6465 |
Louanne Pufall, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8844 Fax: 715-421-2266 | |
Thomas Michael Surendonk, MSSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Karalee Flinders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 3rd St S, Wisconsin Rapids, WI 54494 Phone: 715-712-1370 | |
Ms. Sandra Holmes, MS, CSAC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 420 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-847-2772 | |
Ms. Constance K Virnig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Po 1535, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Mrs. Janelle Kathleen Hafermann, LPC, CSAC, ICS Counselor Medicare: Medicare Enrolled Practice Location: 320 W Grand Ave Ste 204, Wisconsin Rapids, WI 54495 Phone: 715-421-1107 Fax: 715-421-1108 | |
Tracy Renderman, SAC, IDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8869 |