Individual provider · Type 1 NPI

Jennah Kay Marie Blossom, MC61053752

Mental Health Counselor · Spokane, WA

NPI number 1124638010 Active

Practice location

1101 W College Ave
Spokane, WA 99201-2010

Call (509) 324-1471 Map

Mailing address

4211 S Miami St
Spokane, WA 99223-6142

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61053752 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1124638010

Jennah Kay Marie Blossom, MC61053752's National Provider Identifier is 1124638010, issued on Aug 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane, WA. The record was last updated on Aug 5, 2020.