Individual
CARLYNN CLIFFORD BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
PO BOX 2544, SAN ANSELMO, CA 94979-2544
(415) 322-0463
Mailing address
PO BOX 2544, SAN ANSELMO, CA 94979-2544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
05/29/2020
Last updated
02/04/2025
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