Individual provider · Type 1 NPI

Brian Matthew Boulter, RDAT-1

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1982098935 Active

Practice location

1270 S Alfred St Unit 351371
Los Angeles, CA 90035-8057

Call (424) 381-1422 Map

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 1982098935

Brian Matthew Boulter, RDAT-1's National Provider Identifier is 1982098935, issued on Mar 26, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 27, 2016.