Individual
DARCY ELAINE BLOOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
266 N MAIN ST STE 150, WICHITA, KS 67202-1516
(316) 305-2964
Mailing address
2053 S RIDGEWOOD DR, WICHITA, KS 67218-5235
(316) 371-2965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KS
104100000X
Social Worker
Primary
7471
KS
Other
Enumeration date
10/03/2009
Last updated
03/16/2010
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