Individual
MS. AMBER HOLLY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(952) 737-6203
Mailing address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3645
MN
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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