Individual provider · Type 1 NPI

Nicolas Alonzo Bolanos, M.ED., ED.S.

Counselor · Fort Myers, FL

NPI number 1932442837 Active

Practice location

4150 Ford Street Extension
Fort Myers, FL 33916

Call (239) 461-8388 Map

Fax (239) 790-5121

Mailing address

4150 Ford Street Extention
Fort Myers, FL 33916

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XIMH9380 (FL)

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 1932442837

Nicolas Alonzo Bolanos, M.ED., ED.S.'s National Provider Identifier is 1932442837, issued on Mar 29, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 29, 2013.