Organization
BLOOM CHILD AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CORRIGAN LCSW (OWNER/THERAPIST)
(317) 373-0529
Entity
Organization
Contact information
Practice address
419 N 1ST ST UNIT D, MONTROSE, CO 81401-3703
(970) 765-7162
Mailing address
419 N 1ST ST UNIT D, MONTROSE, CO 81401-3703
(970) 765-7162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24830071
—
CO
Enumeration date
04/14/2021
Last updated
06/14/2021
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