Juan Jose Bolanos
NPI #1013620699 in Richmond, California
Provider Information
- NPI Number
- 1013620699
- Entity Type
- Individual
- Name
- Juan Jose Bolanos
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 28, 2022
- Last Updated
- May 11, 2023
Practice Location
- Address
- 12960 SAN PABLO AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94805-1307
- Phone
- (510) 215-2280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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