MRS. Nicole Joyce Bloom, LPC

NPI #1790067544 in Newcastle, Wyoming

Provider Information

NPI Number: 1790067544
Entity Type: Individual
Name: MRS. Nicole Joyce Bloom, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Sep 16, 2011
Last Updated: Mar 17, 2017

Practice Location

Address: 420 DEANNE AVE
City: Newcastle
State: Wyoming
ZIP Code: 82701-2936
Phone: (307) 746-4456

Specialties & Taxonomy Codes

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

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