Individual provider · Type 1 NPI

Amanda L. Bloom, BS

Counselor · Logansport, IN

NPI number 1013287671 Active

Practice location

1807 Smith St
Logansport, IN 46947-1576

Fax (574) 732-0504

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013287671

Amanda L. Bloom, BS's National Provider Identifier is 1013287671, issued on Jan 12, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Logansport, IN. The record was last updated on Jan 12, 2012.