Organization
BLOSSOM COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEIKO L. WOLFE MA, LPC, NCC (OWNER/PSYCHOTHERAPIST)
(484) 938-8461
Entity
Organization
Contact information
Practice address
555 2ND AVE, STE B101, COLLEGEVILLE, PA 19426
(484) 938-8461
Mailing address
555 2ND AVE, STE B101, COLLEGEVILLE, PA 19426
(484) 938-8461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007755
PA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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