Individual
CHARMONIX BLOOM GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(509) 795-3133
Mailing address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(509) 795-3133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61493843
WA
Other
Enumeration date
02/02/2024
Last updated
05/28/2025
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