NPI 1003322652
Erika Lanette Portillo, MEDLMHPR
Practice location
- Address
- 3541 Chain Bridge Rd STE 204, Fairfax, VA 22030-2793
- Phone
- (703) 218-6599
- Fax
- (703) 218-2012
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003322652
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Dec 2017
- Record last updated
- 19 Dec 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.