Individual
MS. AMBER DAWN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1412 W MAGNOLIA AVE STE 210, FORT WORTH, TX 76104-4364
(855) 914-5753
Mailing address
1208 E CHURCHVILLE RD, STE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
91735
TX
Other
Enumeration date
03/14/2016
Last updated
08/02/2023
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