Healthcare Provider Details

I. General information

NPI: 1497028211
Provider Name (Legal Business Name): LINDA RENEE WASHINGTON CADC CERTIFICATION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 MORELLO AVE
MARTINEZ CA
94553-4707
US

IV. Provider business mailing address

1220 MORELLO AVE STE 101
MARTINEZ CA
94553-4707
US

V. Phone/Fax

Practice location:
  • Phone: 925-335-3300
  • Fax:
Mailing address:
  • Phone: 925-335-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: