Individual provider · Type 1 NPI
Jennifer Bloom
Mental Health Counselor · Cumming, GA
NPI number
1386182806
Active
Practice location
100 Bradley Park Ln Apt 134
Cumming, GA 30040-3049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16633 (FL) |
| Mental Health Counselor Primary | 101YM0800X | LPC011388 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1386182806
Jennifer Bloom's National Provider Identifier is 1386182806, issued on Feb 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cumming, GA. The record was last updated on Jul 9, 2020.