Carrie Bernice Bloom
NPI #1992865224 in Fairfield, California
Provider Information
- NPI Number
- 1992865224
- Entity Type
- Individual
- Name
- Carrie Bernice Bloom
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2101 COURAGE DR
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-6717
- Phone
- (707) 784-2140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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