LYNETTE VERTILUS

OAKLAND, CA
NPI1316408057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  010081an)
Enumeration Date2019-03-26
Last Update Date2020-01-02
Business Address
LYNETTE VERTILUS
3315 INTERNATIONAL BLVD
OAKLAND, CA 94601-3005
Phone number: 510-881-5921
Mailing Address
LYNETTE VERTILUS
2354 FRUITVALE AVE APT 14
OAKLAND, CA 94601-2573
Phone number: 408-469-8889