Organization · Type 2 NPI

Bloom365

Mental Health Counselor · Phoenix, AZ

NPI number 1831853480 Active

Practice location

1715 W Northern Ave
Phoenix, AZ 85021-5472

Mailing address

20403 N Lake Pleasant Rd # 117-492
Peoria, AZ 85382-9702

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831853480

Bloom365's National Provider Identifier is 1831853480, issued on Oct 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 28, 2021.