Individual
MS. CAROL MARIA BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Mailing address
11258 OTSEGO ST, N HOLLYWOOD, CA 91601-3729
(707) 853-3001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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