Super Bloom Counseling LLC

NPI #1225794761 in Troy, Illinois

Provider Information

NPI Number: 1225794761
Entity Type: Organization
Organization Name: Super Bloom Counseling LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 9, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 1408 MARTIN DR
City: Troy
State: Illinois
ZIP Code: 62294-3616
Phone: (270) 873-9007

Authorized Official

Name: CHERYL JEAN SON, MA
Title: THERAPIST/OWNER
Phone: (270) 873-9007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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