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Individual

REBECCA BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1501 HAMBURG TPKE FL 4, WAYNE, NJ 07470-4032
(908) 585-1662
Mailing address
380 FOOTHILL RD, BRIDGEWATER, NJ 08807-2255
(973) 994-1011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00404600
NJ
101YP2500X
Professional Counselor
Primary
37PC00826900
NJ

Other

Enumeration date
04/27/2018
Last updated
01/04/2024
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