Amanda L Bloom, BS

NPI #1013287671 in Logansport, Indiana

Provider Information

NPI Number: 1013287671
Entity Type: Individual
Name: Amanda L Bloom, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 1807 SMITH ST
City: Logansport
State: Indiana
ZIP Code: 46947-1576
Phone: (574) 732-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Case Manager/Care Coordinator	171M00000X

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