Organization
BLOOM COUNSELING LLC
Active
Other names
Jilissa Copeland
Organization subpart
No
Provider details
NPI number
Authorized official
JILISSA COPELAND LCSW (CEO)
(219) 246-8873
Entity
Organization
Contact information
Practice address
679 CROSS MEADOWS DR, VALPARAISO, IN 46385-8847
(219) 246-8873
Mailing address
679 CROSS MEADOWS DR, VALPARAISO, IN 46385-8847
(219) 246-8873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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