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Brian Matthew Boulter, RDAT-1
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1982098935

Brian Matthew Boulter is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Brian Matthew Boulter practices in Los Angeles, CA and has the professional credentials of RDAT-1. The NPI Number for Brian Matthew Boulter is 1982098935 and holds a License No. (California).

The current practice location address for Brian Matthew Boulter is 1270 S Alfred St Unit 351371, Los Angeles, CA and can be reached out via phone at 424-381-1422.

Location: 1270 S Alfred St Unit 351371, Los Angeles, CA, 90035-8057
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Provider Profile Details
NPI Number
1982098935
Provider Name
Brian Matthew Boulter
Credential
RDAT-1
Provider Entity Type
Individual
Gender
Male
Address
1270 S Alfred St Unit 351371, Los Angeles, CA, 90035-8057
Phone Number
424-381-1422
Fax Number
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 CCAP
institution
Provider Business Practice Location Address Details
Address
1270 S Alfred St Unit 351371
City
State
Zip
90035-8057
Phone Number
424-381-1422
Fax Number
person
Provider Business Mailing Address Details
Address
1270 S Alfred St Unit 351371
City
State
Zip
90035-8057
Phone Number
424-381-1422
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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