| Blom Counseling Services | |
|
610 Maple St Pella IA 50219-1142 | |
| (641) 780-3421 | |
| Not Available |
| Full Name | Blom Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 610 Maple St, Pella, Iowa |
| Authorized Official Name and Position | Morgan Blom (OWNER) |
| Authorized Official Contact | 6417803421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blom Counseling Services 610 Maple St Pella IA 50219-1142 Ph: (641) 780-3421 | Blom Counseling Services 610 Maple St Pella IA 50219-1142 Ph: (641) 780-3421 |
| NPI Number | 1649975434 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/29/2023 |
| Certification Date | 04/29/2023 |
| Medicare PECOS PAC ID | 0244696433 |
|---|---|
| Medicare Enrollment ID | O20230512001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649975434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Morgan Blom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356902787 PECOS PAC ID: 6709284862 Enrollment ID: I20211005001212 |
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