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Individual
MR. JONATHAN JOSEPH BLOOM
Active
Individual
MR. JONATHAN JOSEPH BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
ASW113373
CA
1041C0700X
Clinical Social Worker
Primary
JONB22
CA
Other
Enumeration date
05/11/2023
Last updated
06/18/2026
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