Individual provider · Type 1 NPI
Amanda Jeannine Bloom
Mental Health Counselor · Seattle, WA
NPI number
1639739402
Active
Practice location
3107 S Dearborn St
Seattle, WA 98144-3228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 60969266 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1639739402
Amanda Jeannine Bloom's National Provider Identifier is 1639739402, issued on Jun 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jun 14, 2019.