Individual provider · Type 1 NPI

Carrie Bernice Bloom

Mental Health Counselor · Fairfield, CA

NPI number 1992865224 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 784-2140 Map

Mailing address

142 Del Loma Ct
Vacaville, CA 95687-9478

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992865224

Carrie Bernice Bloom's National Provider Identifier is 1992865224, issued on Dec 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.