Alfredo Bolanos, CSW
Counselor in Albuquerque, NM. Individual provider (NPI-1).
NPI number1699008656
StatusActive
Last updated in NPPESJun 24, 2015
Details
- NPI
- 1699008656
- Entity type
- Individual (NPI-1)
- Name
- Alfredo Bolanos
- Credential
- CSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2009
- Last updated
- Jun 24, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2551 Coors Blvd NwAlbuquerque, NM 87120-1213
Phone 505-338-3320
Mailing address
2551 Coors Blvd NwAlbuquerque, NM 87120-1213
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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