person
Larissa Joelle Bloom, LASAC
Addiction (Substance Use Disorder) Counselor in Sacaton, Arizona
NPI 1568098846

Larissa Joelle Bloom is an Addiction (Substance Use Disorder) Counselor based in Sacaton, AZ and is specialized in Addiction (Substance Use Disorder). Larissa Joelle Bloom practices in Sacaton, AZ and has the professional credentials of LASAC. The NPI Number for Larissa Joelle Bloom is 1568098846 and holds a License No. LASAC-15335 (Arizona).

The current practice location address for Larissa Joelle Bloom is 483 W Seed Farm Rd, Sacaton, AZ and can be reached out via phone at 602-528-1200.

Location: 483 W Seed Farm Rd, Sacaton, AZ, 85147-0001
person
Provider Profile Details
NPI Number
1568098846
Provider Name
Larissa Joelle Bloom
Credential
LASAC
Provider Entity Type
Individual
Gender
Female
Address
483 W Seed Farm Rd, Sacaton, AZ, 85147-0001
Phone Number
602-528-1200
Fax Number
Provider Enumeration Date
03/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
483 W Seed Farm Rd
City
State
Zip
85147-5000
Phone Number
602-528-1200
Fax Number
person
Provider Business Mailing Address Details
Address
483 W Seed Farm Rd
City
State
Zip
85147-5000
Phone Number
602-528-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LASAC-15335 (Arizona)
Definition
Definition to come...
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