Boutin, Samuel Lawrence

Boutin, Samuel Lawrence is an individual health care provider with primary practice located at 2275 Arlington Dr , San Leandro CA 94578-1132. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Boutin, Samuel Lawrence can be contacted via phone (510) 317-1444.

Contact Information

Primary practice address
2275 Arlington Dr San Leandro CA 94578-1132
Phone: (510) 317-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1790128544
LBN Legal business name Boutin, Samuel Lawrence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Jul 31st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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