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Organization

CRESCENT BLOOM CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBEKAH CIANCI BCBA, LBA, LPC (DIRECTOR)
(630) 816-2004
Entity
Organization

Contact information

Practice address
1021 THALIA ST, NEW ORLEANS, LA 70130-4134
(504) 252-0251
Mailing address
1021 THALIA ST, NEW ORLEANS, LA 70130-4134

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103K00000X
Behavior Analyst

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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