Organization
DARCY E. BLOOMQUIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCY E. BLOOMQUIST LMSW (MANAGING MEMBER)
(316) 305-2964
Entity
Organization
Contact information
Practice address
2053 S RIDGEWOOD DR, WICHITA, KS 67218-5235
(316) 305-2964
Mailing address
2053 S RIDGEWOOD DR, WICHITA, KS 67218-5235
(316) 305-2964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AAPS CERTIFICATION
KS
104100000X
Social Worker
Primary
7471
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
CANNOT ACQUIRE WITHOUT AN NPI NUMBER
—
Enumeration date
03/01/2010
Last updated
03/01/2010
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