person
Mr. Nicolas Alonzo Bolanos, MED,EDS
Counselor in Fort Myers, Florida
NPI 1932442837

Nicolas Alonzo Bolanos is a Counselor based in Fort Myers, FL. Nicolas Alonzo Bolanos practices in Fort Myers, FL and has the professional credentials of MED,EDS. The NPI Number for Nicolas Alonzo Bolanos is 1932442837 and holds a License No. IMH9380 (Florida).

The current practice location address for Nicolas Alonzo Bolanos is 4150 Ford Street Extension, Fort Myers, FL and can be reached out via phone at 239-461-8388 and via fax at 239-790-5121.

Location: 4150 Ford Street Extension, Fort Myers, FL, 33916
person
Provider Profile Details
NPI Number
1932442837
Provider Name
Nicolas Alonzo Bolanos
Credential
MED,EDS
Provider Entity Type
Individual
Gender
Male
Address
4150 Ford Street Extension, Fort Myers, FL, 33916
Phone Number
239-461-8388
Fax Number
239-790-5121
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4150 Ford Street Extension
City
State
Zip
33916
Phone Number
239-461-8388
Fax Number
239-790-5121
person
Provider Business Mailing Address Details
Address
4150 Ford Street Extension
City
State
Zip
33916
Phone Number
239-461-8388
Fax Number
239-790-5121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
IMH9380 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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