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Nelson Jose Bolanos, PSYCHIATRICTECH
Licensed Psychiatric Technician in Pomona, California
NPI 1376101212

Nelson Jose Bolanos is a Licensed Psychiatric Technician based in Pomona, CA. Nelson Jose Bolanos practices in Pomona, CA and has the professional credentials of PSYCHIATRICTECH. The NPI Number for Nelson Jose Bolanos is 1376101212 and holds a License No. PT37969 (California).

The current practice location address for Nelson Jose Bolanos is 2008 N Garey Ave, Pomona, CA and can be reached out via phone at 909-623-6131 and via fax at 909-865-9281.

Location: 2008 N Garey Ave, Pomona, CA, 91767-2722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376101212
Provider Name
Nelson Jose Bolanos
Credential
PSYCHIATRICTECH
Provider Entity Type
Individual
Gender
Male
Address
2008 N Garey Ave, Pomona, CA, 91767-2722
Phone Number
909-623-6131
Fax Number
909-865-9281
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2008 N Garey Ave
City
Pomona
State
California
Zip
91767-2722
Phone Number
909-623-6131
Fax Number
909-865-9281
person
Provider Business Mailing Address Details
Address
2008 N Garey Ave
City
Pomona
State
California
Zip
91767-2722
Phone Number
909-623-6131
Fax Number
909-865-9281
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT37969 (California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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