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S Gina Bolanos
Mental Health Counselor in Dallas, Texas
NPI 1073800884

S Gina Bolanos is a Mental Health Counselor based in Dallas, TX and is specialized in Mental Health. S Gina Bolanos practices in Dallas, TX. The NPI Number for S Gina Bolanos is 1073800884 and holds a License No. 67176 (Texas).

The current practice location address for S Gina Bolanos is 8117 Preston Rd, Dallas, TX and can be reached out via phone at 940-206-3028.

Location: 8117 Preston Rd, Dallas, TX, 75287-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073800884
Provider Name
S Gina Bolanos
Credential
Provider Entity Type
Individual
Gender
Female
Address
8117 Preston Rd, Dallas, TX, 75287-6027
Phone Number
940-206-3028
Fax Number
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8117 Preston Rd
City
Dallas
State
Texas
Zip
75225-6332
Phone Number
940-206-3028
Fax Number
person
Provider Business Mailing Address Details
Address
8117 Preston Rd
City
Dallas
State
Texas
Zip
75225-6332
Phone Number
940-206-3028
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
67176 (Texas)
Definition
Definition to come...
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