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Kimberly Bloom
Counselor in Charlottesville, Virginia
NPI 1174213433

Kimberly Bloom is a Counselor based in Charlottesville, VA. Kimberly Bloom practices in Charlottesville, VA. The NPI Number for Kimberly Bloom is 1174213433 and holds a License No. (Virginia).

The current practice location address for Kimberly Bloom is 141 Ednam Dr Ste A, Charlottesville, VA and can be reached out via phone at 434-202-4080.

Location: 141 Ednam Dr Ste A, Charlottesville, VA, 22903-4629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174213433
Provider Name
Kimberly Bloom
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 Ednam Dr Ste A, Charlottesville, VA, 22903-4629
Phone Number
434-202-4080
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
141 Ednam Dr Ste A
City
Charlottesville
State
Virginia
Zip
22903-4629
Phone Number
434-202-4080
Fax Number
person
Provider Business Mailing Address Details
Address
141 Ednam Dr Ste A
City
Charlottesville
State
Virginia
Zip
22903-4629
Phone Number
434-202-4080
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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