| Blossom Counseling, Co | |
|
11075 S State St Ste 14 Sandy UT 84070-5194 | |
| (801) 648-5730 | |
| Not Available |
| Full Name | Blossom Counseling, Co |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11075 S State St Ste 14, Sandy, Utah |
| Authorized Official Name and Position | Cassidy Shaia (OWNER) |
| Authorized Official Contact | 8016485730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Counseling, Co 11075 S State St Ste 14 Sandy UT 84070-5194 Ph: (801) 648-5730 | Blossom Counseling, Co 11075 S State St Ste 14 Sandy UT 84070-5194 Ph: (801) 648-5730 |
| NPI Number | 1669120572 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669120572 | NPI | - | NPPES |
| 10837040-3501 | Other | UT | NASW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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