Bloom Women's Counseling, LLC

NPI #1275995128 in Sycamore, Illinois

Provider Information

NPI Number: 1275995128
Entity Type: Organization
Organization Name: Bloom Women's Counseling, LLC
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Mar 21, 2016
Last Updated: Mar 21, 2016

Practice Location

Address: 122 S LOCUST ST
Address 2: SUITE 5
City: Sycamore
State: Illinois
ZIP Code: 60178-1865
Phone: (815) 508-6936

Authorized Official

Name: STEPHANIE NELSON-GERHARDT, M.S., LMFT
Title: OWNER/MANAGER
Phone: (815) 508-6936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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