Individual
MS. AMY LYNN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
201 N EDISON ST STE 233, KENNEWICK, WA 99336-1983
(509) 987-1712
(509) 987-1715
Mailing address
201 N EDISON ST STE 233, KENNEWICK, WA 99336-1983
(509) 987-1712
(509) 987-1715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60145862
WA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
RC00054749
WA
Other
Enumeration date
10/25/2006
Last updated
11/23/2019
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