MR. NICOLAS ALONZO BOLANOS M.ED. ED.S. NPI 1932442837

NPI Information

MR. Nicolas Alonzo Bolanos, M.ED., ED.S. is a counselor in Fort Myers, FL. The provider is 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. MR. Nicolas Alonzo Bolanos, M.ED., ED.S. NPI is 1932442837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4150 FORD STREET EXTENSION
FORT MYERS, FL
ZIP 33916
Phone: (239) 461-8388
Fax: (239) 790-5121

The enumeration date for this NPI number is 3/29/2013 and was last updated on 3/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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