Organization
MERIT RESOURCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAY ANTOINETTE BLOOM CDP (CHEMICAL DEPENDENCY PROFESSIONAL)
(509) 469-9366
Entity
Organization
Contact information
Practice address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 469-9366
(509) 469-9926
Mailing address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 469-9366
(509) 469-9926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003747
WA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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