person
Mr. Benjamin Alan Boudreau, RADTI
Addiction (Substance Use Disorder) Counselor in Lancaster, California
NPI 1568993020

Benjamin Alan Boudreau is an Addiction (Substance Use Disorder) Counselor based in Lancaster, CA and is specialized in Addiction (Substance Use Disorder). Benjamin Alan Boudreau practices in Lancaster, CA and has the professional credentials of RADTI. The NPI Number for Benjamin Alan Boudreau is 1568993020 and holds a License No. R1223910316 (California).

The current practice location address for Benjamin Alan Boudreau is 44447 10Th St W, Lancaster, CA and can be reached out via phone at 661-726-2630.

Location: 44447 10Th St W, Lancaster, CA, 93536-4602
person
Provider Profile Details
NPI Number
1568993020
Provider Name
Benjamin Alan Boudreau
Credential
RADTI
Provider Entity Type
Individual
Gender
Male
Address
44447 10Th St W, Lancaster, CA, 93536-4602
Phone Number
661-726-2630
Fax Number
Provider Enumeration Date
03/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447791389 05 CA
institution
Provider Business Practice Location Address Details
Address
44447 10Th St W
City
State
Zip
93534-3324
Phone Number
661-726-2630
Fax Number
person
Provider Business Mailing Address Details
Address
44447 10Th St W
City
State
Zip
93534-3324
Phone Number
661-726-2630
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1223910316 (California)
Definition
Definition to come...
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