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Organization
BLOOMIN FAMILY THERAPY, LLC
Active
Organization
BLOOMIN FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL ZUERCHER LPC, NCC (OWNER)
(208) 244-1446
Entity
Organization
Contact information
Practice address
207 S MAIN ST, MOSCOW, ID 83843-2807
(208) 244-1446
Mailing address
1270A SW CENTER ST, PULLMAN, WA 99163-5388
(208) 244-1446
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
07/03/2024
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