Individual
MRS. AMANDA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LPC
Contact information
Practice address
355 S MADISON BLVD, SUITE C1, ROXBORO, NC 27573-5485
(336) 599-8366
(336) 322-6168
Mailing address
355 S MADISON BLVD, SUITE C1, ROXBORO, NC 27573-5485
(336) 599-8366
(336) 322-6168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7282
NC
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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