Individual provider · Type 1 NPI

Larissa Velasco Bertos

Mental Health Counselor · San Leandro, CA

NPI number 1699292953 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Marriage & Family Therapist 106H00000X94972 (CA)
Mental Health Counselor Primary 101YM0800X94972 (CA)

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About NPI 1699292953

Larissa Velasco Bertos's National Provider Identifier is 1699292953, issued on Aug 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jul 21, 2022.