| Juan Jose Bolanos, | |
|
12960 San Pablo Ave, Richmond, CA 94805-1307 | |
| (510) 215-2280 | |
| (510) 215-2283 |
| Full Name | Juan Jose Bolanos |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12960 San Pablo Ave, Richmond, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013620699 | NPI | - | NPPES |
| R1488401122 | Other | CA | CREDENTIALS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1488401122 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Jose Bolanos, 1901 Church Ln, San Pablo, CA 94806-3707 Ph: (516) 236-1004 | Juan Jose Bolanos, 12960 San Pablo Ave, Richmond, CA 94805-1307 Ph: (510) 215-2280 |
Oliver Maurice Henderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 23rd St, Richmond, CA 94804 Phone: 510-229-5000 Fax: 510-235-3112 | |
Layne Courtney Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 37th St, Richmond, CA 94805 Phone: 510-233-7555 | |
Kalyani Akula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Richmond Pkwy Ste 201, Richmond, CA 94806 Phone: 510-778-2816 | |
Chomsanith Phouangkeo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Macdonald Ave, Richmond, CA 94805 Phone: 510-233-7555 Fax: 510-233-4545 | |
Nicole Vanessa Valentino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 41st St, Richmond, CA 94805 Phone: 510-374-7392 | |
Jodi Louise Reiter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Bissell Ave, Richmond, CA 94804 Phone: 510-235-1516 |