Organization
BLOSSOM VALLEY BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI JO LARSON ARNP (OWNER)
(509) 253-5881
Entity
Organization
Contact information
Practice address
25 N WENATCHEE AVE STE 207A, WENATCHEE, WA 98801-2283
(509) 253-5881
(509) 960-9470
Mailing address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
(509) 253-5881
(509) 960-9470
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142419
—
WA
Enumeration date
09/23/2022
Last updated
02/03/2023
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