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Brian Bouyea, SUDCC

Counselor, Addiction (Substance Use Disorder) in Martinez, CA. Individual provider (NPI-1).

NPI number1336712926
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1336712926
Entity type
Individual (NPI-1)
Name
Mr. Brian Bouyea
Credential
SUDCC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 21, 2021
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)070001anCAYes

Practice location

4645 Pacheco Blvd
Martinez, CA 94553-3625

Phone 925-646-9270

Mailing address

4645 Pacheco Blvd
Martinez, CA 94553-3625

Phone 925-646-9270

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