Bloom Space Counseling, Pllc

NPI #1376222984 in Dixon, Illinois

Provider Information

NPI Number: 1376222984
Entity Type: Organization
Organization Name: Bloom Space Counseling, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 315 S PEORIA AVE
City: Dixon
State: Illinois
ZIP Code: 61021-2956
Phone: (815) 677-6280

Authorized Official

Name: JESSICA WEST, LCSW
Title: OWNER/OPERATOR
Phone: (815) 677-6280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

Additional Practice Locations

446 River Bluff Dr

Dixon, IL, 61021-8768

(815) 677-6280

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