Individual provider · Type 1 NPI

Nelson Jose Bolanos, PSYCHIATRIC TECH.

Licensed Psychiatric Technician · Pomona, CA

NPI number 1376101212 Active

Practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Fax (909) 865-9281

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT37969 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1376101212

Nelson Jose Bolanos, PSYCHIATRIC TECH.'s National Provider Identifier is 1376101212, issued on Jun 5, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Pomona, CA. The record was last updated on Jun 17, 2019.