Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA BORTOLUS, SUDRC #13485
Active Sole ProprietorDIANA BORTOLUS, SUDRC #13485 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN MATEO, California. NPI 1144097916 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN MATEO, CA
Registration Details
- NPI Number
- 1144097916
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2023 (2.6567221357784 yrs)
- Last Updated
- Dec 11, 2023
- License
-
13485 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2015 PIONEER CTSAN MATEO, CA, 944031781Browse CA providers · Browse ZIP 94403
- Phone
- 6503486603
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN MATEO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JASON SANCHEZ PEREZ | CAS | 1316064207 |
| MR. MICHAEL VINCENT MCCORMICK II | C.A.T.C. 11 | 1225295074 |
| DAVID L MEEDS | CADC | 1902063597 |
| MATTHEW BOYLE | CPRP | 1649427394 |
| SUSAN DEKOM | — | 1457590770 |
| MS. CLARA BOYDEN | — | 1245465004 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.