Individual
ADRIANA BOUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8665 GIBBS DR STE 150, SAN DIEGO, CA 92123-1739
(858) 384-6284
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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