Individual provider · Type 1 NPI

Alfredo J. Bolanos Jr.

Counselor · San Dimas, CA

NPI number 1649754417 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649754417

Alfredo J. Bolanos Jr.'s National Provider Identifier is 1649754417, issued on Sep 18, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Dimas, CA. The record was last updated on Apr 24, 2019.