Organization
BLOOM COUNSELING AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LYNN BLOMQUIST LCSW (OWNER)
(224) 875-1975
Entity
Organization
Contact information
Practice address
1101 RITTER ST UNIT 302, NORTH AURORA, IL 60542-8975
(224) 875-1975
Mailing address
1101 RITTER ST UNIT 302, NORTH AURORA, IL 60542-8975
(224) 875-1975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/21/2022
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