Jake B Bloom, LPC
NPI #1730712308 in Menomonie, Wisconsin
Provider Information
- NPI Number
- 1730712308
- Entity Type
- Individual
- Name
- Jake B Bloom, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Feb 21, 2020
- Last Updated
- Dec 2, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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