Individual
CARONNE TAYLOR BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
445 MAPLE RD, HELLERTOWN, PA 18055-1918
(484) 425-6250
Mailing address
445 MAPLE RD, HELLERTOWN, PA 18055-1918
(484) 425-6250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC012538
PA
101YM0800X
Mental Health Counselor
PC012538
PA
101YP2500X
Professional Counselor
Primary
PC012538
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC012538
STATE BOARD OF SOCIAL WORK, MFT, AND PROF. COUNSELING
PA
Enumeration date
07/16/2020
Last updated
11/27/2023
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