Organization
BLOOM MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEE JACKSON (OWNER)
(856) 839-5678
Entity
Organization
Contact information
Practice address
1121 HARDING HWY, BUENA, NJ 08310-1537
(856) 839-5678
Mailing address
PO BOX 4, BUENA, NJ 08310-0004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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