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Melissa Anne Bloom
Mental Health Counselor in Cambridge, Massachusetts
NPI 1417575390

Melissa Anne Bloom is a Mental Health Counselor based in Cambridge, MA and is specialized in Mental Health. Melissa Anne Bloom practices in Cambridge, MA. The NPI Number for Melissa Anne Bloom is 1417575390 and holds a License No. (Massachusetts).

The current practice location address for Melissa Anne Bloom is 1430 Massachusetts Ave, Cambridge, MA and can be reached out via phone at 646-837-5557.

Location: 1430 Massachusetts Ave, Cambridge, MA, 02138-3831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417575390
Provider Name
Melissa Anne Bloom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1430 Massachusetts Ave, Cambridge, MA, 02138-3831
Phone Number
646-837-5557
Fax Number
Provider Enumeration Date
07/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1430 Massachusetts Ave
City
Cambridge
State
Massachusetts
Zip
02138-3831
Phone Number
646-837-5557
Fax Number
person
Provider Business Mailing Address Details
Address
1430 Massachusetts Ave
City
Cambridge
State
Massachusetts
Zip
02138-3831
Phone Number
646-837-5557
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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