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Organization

BLOSSOMING MINDS COUNSELING, LLC

Active
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Organization

BLOSSOMING MINDS COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA GAUTHIER LCSW-C (OWNER/THERAPIST)
(443) 673-9445
Entity
Organization

Contact information

Practice address
417 S COLLINGTON AVE, BALTIMORE, MD 21231-2736
(443) 673-9445
Mailing address
417 S COLLINGTON AVE, BALTIMORE, MD 21231-2736
(443) 673-9445

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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