Organization
RUTH A. GOLDBLOOM, P.A.
Active
Other names
Casselman Counseling Consortium
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH ALICE GOLDBLOOM LCPC, LPC (OWNERN& CHIEF CLINICIAN)
(301) 895-3388
Entity
Organization
Contact information
Practice address
12590 NATIONAL PIKE, SUITE 2, GRANTSVILLE, MD 21536-3310
(301) 895-3388
(301) 895-3399
Mailing address
12590 NATIONAL PIKE, P O BOX 268, GRANTSVILLE, MD 21536-3310
(301) 895-3388
(301) 895-3399
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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