Camille Bertolozzi
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pacifica, CA
NPI 1447697255 · NPPES record last updated Jun 3, 2013
Key facts
- NPI
- 1447697255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 104YA0400X (CA)
- Practice address
- 480 Manor PLZ
Pacifica, CA 94044-1839 - Phone
- (650) 355-8787
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104YA0400X | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 104YA0400X | CA | Yes |
Addresses
Primary practice location
480 Manor PLZ
Pacifica, CA 94044-1839
Mailing address
480 Manor PLZ
Pacifica, CA 94044-1839
Phone (650) 355-8787
Other providers in Pacifica, CA
- Heather L Bedient
- Joyce L. Bell
- Teresa Benetti
- Silvana Jane Berend
- Ocean Rush Berg
- Best Healthcare Access Norcal
- Xuan Bi
- Diane Blake
- Donna Maria Blethen
- Karen Bohall
All providers in Pacifica, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.