Individual
MR. BRIAN BOUYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC
Contact information
Practice address
4645 PACHECO BLVD, MARTINEZ, CA 94553-3625
(925) 646-9270
Mailing address
4645 PACHECO BLVD, MARTINEZ, CA 94553-3625
(925) 646-9270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070001AN
CA
Other
Enumeration date
07/21/2021
Last updated
11/21/2024
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