Individual provider · Type 1 NPI

Tanner Brock Boydstun

Addiction (Substance Use Disorder) Counselor · Oceanside, CA

NPI number 1518753045 Active

Practice location

1100 Sportfisher Drive
Oceanside, CA 92054

Call (760) 439-6702 Map

Fax (760) 439-4779

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1518753045

Tanner Brock Boydstun's National Provider Identifier is 1518753045, issued on Apr 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oceanside, CA. The record was last updated on Apr 21, 2025.