| Blossom Therapy Llc | |
|
12515 Meridian E Ste 204 Puyallup WA 98373-3436 | |
| (971) 251-0312 | |
| Not Available |
| Full Name | Blossom Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12515 Meridian E Ste 204, Puyallup, Washington |
| Authorized Official Name and Position | Heather Kunce (LMFT CLINICAL SUPERVISOR) |
| Authorized Official Contact | 4026771701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Therapy Llc 1213 32nd St Nw Puyallup WA 98371-1940 Ph: (402) 677-1701 | Blossom Therapy Llc 12515 Meridian E Ste 204 Puyallup WA 98373-3436 Ph: (971) 251-0312 |
| NPI Number | 1164230157 |
|---|---|
| Provider Enumeration Date | 12/21/2024 |
| Last Update Date | 12/21/2024 |
| Certification Date | 12/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164230157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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