Organization
BLOSSOM COUNSELING ONLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIKO WOLFE (OWNER)
(484) 948-8861
Entity
Organization
Contact information
Practice address
555 SECOND AVE STE B-300, COLLEGEVILLE, PA 19426-3636
(484) 938-8461
Mailing address
555 SECOND AVE STE B-300, COLLEGEVILLE, PA 19426-3636
(484) 938-8461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
05/05/2023
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