Individual
MICHAEL BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
16 OCTAVIO, FORT PIERCE, FL 34951-2809
(772) 410-6083
Mailing address
16 OCTAVIO, FORT PIERCE, FL 34951-2809
(772) 410-6083
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
243
MA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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