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MR. BENJAMIN ALAN BOUDREAU RADT I
NPI 1568993020
Counselor - Addiction (Substance Use Disorder) in Lancaster, CA

Active since March 24, 2017
44447 10TH ST W, LANCASTER, CA 93534(661) 726-2630 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Benjamin Alan Boudreau Radt I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN ALAN BOUDREAU RADT I (NPI 1568993020) is an individual addiction (substance use disorder) provider in Lancaster, California, licensed in California (R1223910316) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1568993020
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BENJAMIN ALAN BOUDREAUCredential: RADT I
Location Address44447 10TH ST WLancaster, CA 93534-3324
Mailing Address2225 W Avenue K10Lancaster, CA 93536-4602 · (805) 559-3502
Phone(661) 726-2630
Sole ProprietorYes
Enumeration DateMarch 24, 2017
✔ NPI 1568993020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1223910316
44447 10TH ST W, Lancaster, CA 93534
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Other Identifiers 2

Medicaid1447791389CA
Medicare NSC1447791389CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MILTON CHEEK IV SUDRC#16932
Counselor (Addiction (Substance Use Disorder))
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 723-4829
APRIL SALGADO MPSS
Peer Specialist
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 726-2630
MR. JOSUE ALBERTO GUTIERREZ
Peer Specialist
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 726-2630
CLAUDIA NOEMI BURLSEY SUDRC16174
Counselor (Addiction (Substance Use Disorder))
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (818) 996-1051
JESSICA GUZMAN
Specialist
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (818) 996-1051
LORI SHAFER
Counselor (Addiction (Substance Use Disorder))
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 726-2630
CRYSTAL LYNN PELLETIER
Counselor (Addiction (Substance Use Disorder))
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (818) 996-1051
MRS. NICOLE KATHERINE MARTIN PPS
Counselor (Mental Health)
44447 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 726-2630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Boudreau's NPI number?

The NPI number for Benjamin Boudreau is 1568993020. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Benjamin Boudreau located?

Benjamin Boudreau practices at 44447 10th St W, Lancaster, CA 93534. The listed phone number is (661) 726-2630.

What is Benjamin Boudreau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Benjamin Boudreau was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.