Individual provider · Type 1 NPI

Lynette Vertilus

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1316408057 Active

Practice location

3315 International Blvd
Oakland, CA 94601-3005

Call (510) 881-5921 Map

Fax (510) 291-9591

Mailing address

2354 Fruitvale Ave Apt 14
Oakland, CA 94601-2573

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X010081AN (CA)

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

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About NPI 1316408057

Lynette Vertilus's National Provider Identifier is 1316408057, issued on Mar 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Jan 2, 2020.