Individual provider · Type 1 NPI
Rebecca Bloom, LAC
Professional Counselor · Wayne, NJ
NPI number
1326536186
Active
Practice location
1501 Hamburg Tpke Fl 4
Wayne, NJ 07470-4032
Mailing address
380 Foothill Rd
Bridgewater, NJ 08807-2255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00826900 (NJ) |
| Mental Health Counselor | 101YM0800X | 37AC00404600 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1326536186
Rebecca Bloom, LAC's National Provider Identifier is 1326536186, issued on Apr 27, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wayne, NJ. The record was last updated on Jan 4, 2024.