Alex Franklin Runolfson
Counselor, Mental Health in Holladay, UT. Organization (NPI-2).
NPI number1225569718
StatusActive
Last updated in NPPESMar 25, 2017
Details
- NPI
- 1225569718
- Entity type
- Organization (NPI-2)
- Legal business name
- Alex Franklin Runolfson
- Organization subpart
- No
- Enumeration date
- Mar 25, 2017
- Last updated
- Mar 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Bloom Recovery (Doing Business As)
Practice location
2220 E Murray Holladay RdUnit 186
Holladay, UT 84117-5377
Phone 801-809-6011
Mailing address
2220 E Murray Holladay RdUnit 186
Holladay, UT 84117-5377
Phone 801-809-6011
Authorized official
Alex Runolfson
Owner
8018096011
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