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Jennifer Bloom
Mental Health Counselor in Cumming, Georgia
NPI 1386182806

Jennifer Bloom is a Mental Health Counselor based in Cumming, GA and is specialized in Mental Health. Jennifer Bloom practices in Cumming, GA. The NPI Number for Jennifer Bloom is 1386182806 and holds a License No. MH16633 (Georgia).

The current practice location address for Jennifer Bloom is 100 Bradley Park Ln Apt 134, Cumming, GA and can be reached out via phone at 561-252-7815.

Location: 100 Bradley Park Ln Apt 134, Cumming, GA, 30040-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386182806
Provider Name
Jennifer Bloom
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Bradley Park Ln Apt 134, Cumming, GA, 30040-3049
Phone Number
561-252-7815
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Bradley Park Ln Apt 134
City
Cumming
State
Georgia
Zip
30040-3049
Phone Number
561-252-7815
Fax Number
person
Provider Business Mailing Address Details
Address
100 Bradley Park Ln Apt 134
City
Cumming
State
Georgia
Zip
30040-3049
Phone Number
561-252-7815
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH16633 (Florida)
Definition
Definition to come...
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