Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Logan Bustamante

Individual provider Mental Health Counselor · NPI 1992484281

Benjamin Logan Bustamante is a Mental Health Counselor in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

928 Broadway
San Diego, CA 92101-5514
Phone: (619) 977-3716
Fax: (619) 481-3075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6850 Morro Rd, Atascadero, CA 93422-4123 — (510) 317-1444

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1992484281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

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