Individual provider · Type 1 NPI
Jose Luis Bolanos
Addiction (Substance Use Disorder) Counselor · Burbank, CA
NPI number
1457563470
Active
Practice location
2116 N Frederic St, 18646 Oxnard St
Burbank, CA 91504-3323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457563470
Jose Luis Bolanos's National Provider Identifier is 1457563470, issued on May 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burbank, CA. The record was last updated on Oct 10, 2007.