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Organization
BLOOM LIMITED
Active
Organization
BLOOM LIMITED
Active
Other names
Bloom
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ELISE ULMER LPC, CEDS-S (OWNER)
(305) 962-8525
Entity
Organization
Contact information
Practice address
1018 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 893-7600
Mailing address
1018 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 893-7600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
12/04/2023
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