DANIEL BOLANDER

VENICE, CA
NPI1730636598
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  ri1237800916)
Enumeration Date2016-09-08
Last Update Date2016-09-08
Business Address
-- DANIEL BOLANDER
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
Mailing Address
-- DANIEL BOLANDER
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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