| Blossom Counseling Online | |
|
555 Second Ave Ste B-300 Collegeville PA 19426-3636 | |
| (484) 938-8461 | |
| Not Available |
| Full Name | Blossom Counseling Online |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 555 Second Ave Ste B-300, Collegeville, Pennsylvania |
| Authorized Official Name and Position | Keiko Wolfe (OWNER) |
| Authorized Official Contact | 4849488861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Counseling Online 555 Second Ave Ste B-300 Collegeville PA 19426-3636 Ph: (484) 938-8461 | Blossom Counseling Online 555 Second Ave Ste B-300 Collegeville PA 19426-3636 Ph: (484) 938-8461 |
| NPI Number | 1760179980 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760179980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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