BRIAN MATTHEW BOULTER

LOS ANGELES, CA
NPI1982098935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-03-26
Last Update Date2016-05-27
Business Address
-- BRIAN MATTHEW BOULTER RDAT-1
1270 S ALFRED ST UNIT 351371
LOS ANGELES, CA 90035-8057
Phone number: 424-381-1422
Mailing Address
-- BRIAN MATTHEW BOULTER RDAT-1
1270 S ALFRED ST UNIT 351371
LOS ANGELES, CA 90035-8057
Phone number: 424-381-1422
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