person
Ms. Leesa Robin Bloom
Peer Specialist in Albuquerque, New Mexico
NPI 1104409689

Leesa Robin Bloom is a Peer Specialist based in Owensboro, NM. Leesa Robin Bloom practices in Albuquerque, NM. The NPI Number for Leesa Robin Bloom is 1104409689 and holds a License No. (New Mexico).

The current practice location address for Leesa Robin Bloom is 707 Broadway Blvd Ne Ste 500, Albuquerque, NM and can be reached out via phone at 505-268-0701.

Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM, 42302-1637
person
Provider Profile Details
NPI Number
1104409689
Provider Name
Leesa Robin Bloom
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 Broadway Blvd Ne Ste 500, Albuquerque, NM, 42302-1637
Phone Number
505-268-0701
Fax Number
Provider Enumeration Date
05/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 Broadway Blvd Ne Ste 500
City
State
Zip
87102-2367
Phone Number
505-268-0701
Fax Number
person
Provider Business Mailing Address Details
Address
707 Broadway Blvd Ne Ste 500
City
State
Zip
87102-2367
Phone Number
505-268-0701
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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