Individual provider · Type 1 NPI

Leesa Robin Bloom

Peer Specialist · Albuquerque, NM

NPI number 1104409689 Active

Practice location

707 Broadway Blvd NE Ste 500
Albuquerque, NM 87102-2367

Call (505) 268-0701 Map

Mailing address

PO Box 1637
Owensboro, KY 42302-1637

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104409689

Leesa Robin Bloom's National Provider Identifier is 1104409689, issued on May 3, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 1, 2021.