Individual provider · Type 1 NPI

Jake B. Bloom, LPC

Mental Health Counselor · Menomonie, WI

NPI number 1730712308 Active

Practice location

4076 Kothlow Ave
Menomonie, WI 54751-3090

Call (715) 235-4537 Map

Fax (715) 235-4535

Mailing address

803 Ballentine Rd
Menomonie, WI 54751-3740

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4058-125 (WI)

Mental Health Counselor: Definition to come...

12 other providers at this address

Other mental health counselor providers in Menomonie

See all in Menomonie →

About NPI 1730712308

Jake B. Bloom, LPC's National Provider Identifier is 1730712308, issued on Feb 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Menomonie, WI. The record was last updated on Dec 2, 2020.