Individual provider · Type 1 NPI

Charles Boston, SUDCC III

Addiction (Substance Use Disorder) Counselor · Ventura, CA

NPI number 1205280344 Active

Practice location

955 E Thompson Blvd
Ventura, CA 93001-3008

Fax (805) 641-2040

Other practice locations

  • 1755 Sullivan Ln, Sparks, NV 89431-2815 · (775) 355-7734

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X00700 (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205280344

Charles Boston, SUDCC III's National Provider Identifier is 1205280344, issued on Apr 14, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ventura, CA. The record was last updated on Jun 3, 2021.