Individual provider · Type 1 NPI

Charmonix Bloom Gilbert, SUDP-T

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1053174995 Active

Practice location

4305 E Trent Ave
Spokane, WA 99212-1315

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61493843 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053174995

Charmonix Bloom Gilbert, SUDP-T's National Provider Identifier is 1053174995, issued on Feb 2, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on May 28, 2025.