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

Jessica R Boulter

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770276859

Jessica R Boulter is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

416 Corson Ave
Modesto, CA 95350-5408
Phone: (209) 284-0970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1770276859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

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