Organization
IN BLOOM COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA JOHNSON (OWNER)
(203) 747-6980
Entity
Organization
Contact information
Practice address
22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
(203) 626-1605
Mailing address
22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
(203) 626-1605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1569
CT
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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