Most Relevant Information
Provider Data
| NPI Number: | 1003242793 |
| Provider Name: | JONATHAN R BOLAND LCSW, BCD, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 75787 |
Most Important Dates
| Enumeration Date: | 09/25/2013 |
| Last Updated: | 03/18/2020 |
Provider Practice Location
NAVAL CONSOLIDATED BRIG MIRAMAR
46141 MIRAMAR WAY
SAN DIEGO
CA
92126
Practice Location Phone/Fax
| Phone: | 6198463381 |
| Fax: |
Provider Mailing Location
NAVAL CONSOLIDATED BRIG MIRAMAR
46141 MIRAMAR WAY
SAN DIEGO
CA
92126
Provider Mailing Phone/Fax
| Phone: | 8583077184 |
| Fax: |