Organization
INNER BLOOM PROFESSIONAL COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL ROSE CASTILLO (OWNER/MANAGER)
(520) 517-8223
Entity
Organization
Contact information
Practice address
19330 S 208TH PL, QUEEN CREEK, AZ 85142-1615
(520) 517-8223
Mailing address
19330 S 208TH PL, QUEEN CREEK, AZ 85142-1615
(520) 517-8223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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