Organization
IN BLOOM BEHAVIORAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY H PACKER (OWNER)
(540) 887-2847
Entity
Organization
Contact information
Practice address
15 TERRY CT, SUITE D, STAUNTON, VA 24401-2568
(540) 887-2847
(540) 887-2848
Mailing address
15 TERRY CT, SUITE D, STAUNTON, VA 24401-2568
(540) 887-2847
(540) 887-2848
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0015000751
VA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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