Individual
CAROLYN FAYE BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS, CDCA
Contact information
Practice address
7911 DETROIT AVE, CLEVELAND, OH 44102-2815
(216) 334-2876
(216) 334-2882
Mailing address
7911 DETROIT AVE, CLEVELAND, OH 44102-2815
(216) 334-2876
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185623
OH
175T00000X
Peer Specialist
Primary
APS.003271
OH
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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