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Individual

MR. LEE JAMES BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
6605 W CENTRAL AVE, TOLEDO, OH 43617-1000
(419) 841-7701
(419) 841-1691
Mailing address
6605 W CENTRAL AVE, TOLEDO, OH 43617-1000
(419) 841-7701
(419) 841-1691

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900024
OH

Other

Enumeration date
05/06/2013
Last updated
05/06/2013
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