Organization
BLOSSOM THERAPY LLC
Active
Parent organization
BLOSSOM THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOSSOM THERAPY LLC
Authorized official
HEATHER KUNCE (LMFT CLINICAL SUPERVISOR)
(402) 677-1701
Entity
Organization
Contact information
Practice address
12515 MERIDIAN E STE 204, PUYALLUP, WA 98373-3436
(971) 251-0312
Mailing address
1213 32ND ST NW, PUYALLUP, WA 98371-1940
(402) 677-1701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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