Individual provider · Type 1 NPI

Diana Bortolus, SUDRC #13485

Addiction (Substance Use Disorder) Counselor · San Mateo, CA

NPI number 1144097916 Active

Practice location

2015 Pioneer Ct
San Mateo, CA 94403-1781

Call (650) 348-6603 Map

Mailing address

2015 Pioneer Ct Ste B
San Mateo, CA 94403-1736

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13485 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144097916

Diana Bortolus, SUDRC #13485's National Provider Identifier is 1144097916, issued on Dec 11, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Dec 11, 2023.