Organization
BLOOM COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASANDRA ELAINE THERIAULT LCSW-C (OWNER)
(240) 469-8594
Entity
Organization
Contact information
Practice address
764 FREY RD, CHAMBERSBURG, PA 17202-9662
(240) 602-6949
Mailing address
764 FREY RD, CHAMBERSBURG, PA 17202-9662
(240) 469-8594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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