Individual
KATIE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PLMHP
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9530
NE
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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