Organization
BLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LACHANCE-POIRRIER (CLINICAL DIRECTOR)
(908) 797-6615
Entity
Organization
Contact information
Practice address
142 BODINE RD, BERWYN, PA 19312-1027
(610) 639-4158
Mailing address
142 BODINE RD, BERWYN, PA 19312-1027
(908) 797-6615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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