Individual
ADAM BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LPC, NCC, MAC
Contact information
Practice address
2301 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 713-5101
Mailing address
1225 CROCKETT LN, SILVER SPRING, MD 20904-6658
(202) 713-5101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6982
MD
101YM0800X
Mental Health Counselor
PRC14773
DC
Other
Enumeration date
04/17/2016
Last updated
02/27/2017
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