| Blossom Lkn Pllc | |
|
542 Williamson Rd Ste 4 Mooresville NC 28117-9138 | |
| (704) 550-4538 | |
| (704) 255-2021 |
| Full Name | Blossom Lkn Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 542 Williamson Rd Ste 4, Mooresville, North Carolina |
| Authorized Official Name and Position | Hunter N Adams (OWNER) |
| Authorized Official Contact | 7048772877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Lkn Pllc 542 Williamson Rd Ste 4 Mooresville NC 28117-9138 Ph: (704) 550-4538 | Blossom Lkn Pllc 542 Williamson Rd Ste 4 Mooresville NC 28117-9138 Ph: (704) 550-4538 |
| NPI Number | 1699357996 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699357996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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