Individual provider · Type 1 NPI
Matthew Wayne Bouslaugh
Addiction (Substance Use Disorder) Counselor · Vallejo, CA
NPI number
1053216770
Active
Practice location
1350 Tennessee St
Vallejo, CA 94590-4625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 26081 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053216770
Matthew Wayne Bouslaugh's National Provider Identifier is 1053216770, issued on Oct 12, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Oct 12, 2026.