Organization
BLOOM COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE GUZMAN LCPC, NCC (OWNER/CLINICIAN)
(208) 919-6310
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER STE 310B, BOISE, ID 83706-2548
(208) 919-6310
Mailing address
3350 W AMERICANA TER STE 310B, BOISE, ID 83706-2548
(208) 919-6310
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740604529
TYPE I NPI
ID
Enumeration date
07/22/2019
Last updated
06/07/2022
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