Individual
BIANCA BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10671 N KENDALL DR, MIAMI, FL 33176-1510
(786) 416-0811
Mailing address
10345 SW 92ND ST, MIAMI, FL 33176-2655
(305) 542-0572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH20627
FL
Other
Enumeration date
03/17/2021
Last updated
09/24/2021
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