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Individual
LENNY BOLTON
Active
Individual
LENNY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1419970221
CA
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2021
Last updated
05/08/2026
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