Individual provider · Type 1 NPI

Martha Lyn Blose

Mental Health Counselor · Puyallup, WA

NPI number 1124898838 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124898838

Martha Lyn Blose's National Provider Identifier is 1124898838, issued on Jan 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Jan 3, 2024.