Individual provider · Type 1 NPI

Juan Jose Bolanos

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1013620699 Active

Practice location

12960 San Pablo Ave
Richmond, CA 94805-1307

Call (510) 215-2280 Map

Fax (510) 215-2283

Mailing address

1901 Church Ln
San Pablo, CA 94806-3707

Other practice locations

  • 1901 Church Ln, San Pablo, CA 94806-3707 · (516) 236-1004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1488401122 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013620699

Juan Jose Bolanos's National Provider Identifier is 1013620699, issued on Dec 28, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on May 11, 2023.