Organization
BLOOM THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE JONES LCPC (THERAPIST/OWNER)
(240) 758-2142
Entity
Organization
Contact information
Practice address
7303 HANOVER PKWY STE C, GREENBELT, MD 20770-2029
(240) 758-2142
(301) 441-2511
Mailing address
7303 HANOVER PKWY STE C, GREENBELT, MD 20770-2029
(240) 758-2142
(240) 668-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6689
MD
Other
Enumeration date
03/01/2018
Last updated
02/03/2022
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