Diana Bortolus, SUDRC #13485
NPI #1144097916 in San Mateo, California
Provider Information
- NPI Number
- 1144097916
- Entity Type
- Individual
- Name
- Diana Bortolus, SUDRC #13485
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC #13485
- Enumeration Date
- Dec 11, 2023
- Last Updated
- Dec 11, 2023
Practice Location
- Address
- 2015 PIONEER CT
- City
- San Mateo
- State
- California
- ZIP Code
- 94403-1781
- Phone
- (650) 348-6603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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