Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charmonix Bloom Gilbert, SUDP-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053174995

Charmonix Bloom Gilbert, SUDP-T is an Addiction (Substance Use Disorder) Counselor in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

4305 E Trent Ave
Spokane, WA 99212-1315
Phone: (509) 795-3133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO61493843 (WA)

Record details

NPI number1053174995
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP-T
Sole proprietorNo
NPI enumeratedFebruary 2, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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