Individual provider · Type 1 NPI

Georjana E. Moncada Bolanos, MS

Marriage & Family Therapist · Banning, CA

NPI number 1205447000 Active

Practice location

1330 W Ramsey St
Banning, CA 92220-4477

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Marriage & Family Therapist Primary	106H00000X	154442 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1205447000

Georjana E. Moncada Bolanos, MS's National Provider Identifier is 1205447000, issued on Aug 14, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Banning, CA. The record was last updated on Apr 18, 2025.