Individual
MRS. RENAY ANTOINETTE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHEMICAL DEPENDENCY
Contact information
Practice address
315 N. 2ND STREET, YAKIMA, WA 98901
(509) 469-9366
Mailing address
315 N. 2ND STREET, YAKIMA, WA 98901
(509) 469-9366
(509) 469-9926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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