LENNY BOLTON RADT I NPI 1295300051

NPI Information

NPI: 1295300051
Provider Name: LENNY BOLTON, RADT I
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA
ZIP 92108
Phone: (619) 381-7748
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Lenny Bolton, RADT I is a peer specialist in San Diego, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Lenny Bolton, RADT I NPI is 1295300051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA
ZIP 92108-505
Phone: (619) 381-7748

The enumeration date for this NPI number is 5/24/2021 and was last updated on 11/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1419970221	CALIFORNIA	No
2	172V00000X	Community Health Worker				No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	175T00000X	Peer Specialist			CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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