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Maddison Robin Blum

Counselor, Mental Health in Centralia, WA. Individual provider (NPI-1).

NPI number1962035865
StatusActive
Last updated in NPPESFeb 19, 2020

Details

NPI
1962035865
Entity type
Individual (NPI-1)
Name
Ms. Maddison Robin Blum
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2020
Certification date
Feb 19, 2020
Last updated
Feb 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

3510 Steelhammer Dr
Centralia, WA 98531-4551

Phone 360-623-8020

Mailing address

3510 Steelhammer Dr
Centralia, WA 98531-4551

Phone 360-623-8020

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