| Bloom Child And Family Therapy | |
|
419 N 1st St Unit D Montrose CO 81401-3703 | |
| (970) 765-7162 | |
| Not Available |
| Full Name | Bloom Child And Family Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 419 N 1st St Unit D, Montrose, Colorado |
| Authorized Official Name and Position | Jessica Corrigan (OWNER/THERAPIST) |
| Authorized Official Contact | 3173730529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Child And Family Therapy 419 N 1st St Unit D Montrose CO 81401-3703 Ph: (970) 765-7162 | Bloom Child And Family Therapy 419 N 1st St Unit D Montrose CO 81401-3703 Ph: (970) 765-7162 |
| NPI Number | 1295315026 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295315026 | NPI | - | NPPES |
| 24830071 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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