Individual provider · Type 1 NPI

Carol Maria Bolanos

Addiction (Substance Use Disorder) Counselor · Canoga Park, CA

NPI number 1760502819 Active

Practice location

7246 Remmet Ave
Canoga Park, CA 91303-1531

Mailing address

11258 Otsego St
North Hollywood, CA 91601-3729

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1760502819

Carol Maria Bolanos's National Provider Identifier is 1760502819, issued on Mar 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canoga Park, CA. The record was last updated on Jul 8, 2007.