| Bloom Counseling And Consulting | |
|
3350 W Americana Ter Ste 310b Boise ID 83706-2548 | |
| (208) 919-6310 | |
| Not Available |
| Full Name | Bloom Counseling And Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3350 W Americana Ter Ste 310b, Boise, Idaho |
| Authorized Official Name and Position | Jennifer Renee Guzman (OWNER/CLINICIAN) |
| Authorized Official Contact | 2089196310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling And Consulting 3350 W Americana Ter Ste 310b Boise ID 83706-2548 Ph: (208) 919-6310 | Bloom Counseling And Consulting 3350 W Americana Ter Ste 310b Boise ID 83706-2548 Ph: (208) 919-6310 |
| NPI Number | 1487207049 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487207049 | NPI | - | NPPES |
| 1740604529 | Other | ID | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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