| Mrs Willow Green Portela, LPC-A | |
|
101 Colvard St, Jefferson, NC 28640-9797 | |
| (336) 246-4542 | |
| (336) 246-2364 |
| Full Name | Mrs Willow Green Portela |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 101 Colvard St, Jefferson, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194360925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A15333 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Willow Green Portela, LPC-A 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Mrs Willow Green Portela, LPC-A 101 Colvard St, Jefferson, NC 28640-9797 Ph: (336) 246-4542 |
Beverly Sturgill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 336-246-4542 | |
Jessica Stroud Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 704-939-1100 | |
Suzanne Marie Barthet, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Colvard St Unit 1, Jefferson, NC 28640 Phone: 336-246-4542 Fax: 336-246-2364 | |
Bobby J Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 704-939-1100 | |
Amanda Elizabeth Gentry, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 North Main Street, Jefferson, NC 28640 Phone: 336-846-7492 Fax: 336-846-7397 | |
Stephanie Lynn Schaffner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 704-939-1100 |