Organization
ALEX FRANKLIN RUNOLFSON
Active
Other names
Bloom Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RUNOLFSON LCMHC (OWNER)
(801) 809-6011
Entity
Organization
Contact information
Practice address
2220 E MURRAY HOLLADAY RD, UNIT 186, HOLLADAY, UT 84117-5377
(801) 809-6011
Mailing address
2220 E MURRAY HOLLADAY RD, UNIT 186, HOLLADAY, UT 84117-5377
(801) 809-6011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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