Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juan Jose Bolanos

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013620699

Juan Jose Bolanos is an Addiction (Substance Use Disorder) Counselor in Richmond, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

12960 San Pablo Ave
Richmond, CA 94805-1307
Phone: (510) 215-2280
Fax: (510) 215-2283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Church Ln, San Pablo, CA 94806-3707 — (516) 236-1004

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1488401122 (CA)

Record details

NPI number1013620699
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESMay 11, 2023
Certification dateDecember 29, 2022
Mailing address1901 Church Ln, San Pablo, CA 94806-3707

Other providers in Richmond