Individual
CAITLIN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 HICKORY HILL DR, CORBIN, KY 40701-2856
(423) 443-5719
Mailing address
290 HICKORY HILL DR, CORBIN, KY 40701-2856
(423) 443-5719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
271404
KY
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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