Carrie Bernice Bloom
Carrie Bernice Bloom is a Mental Health Counselor in Fairfield, California. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2101 Courage DrFairfield, CA 94533-6717
Phone: (707) 784-2140
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1992865224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 8, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 142 Del Loma Ct, Vacaville, CA 95687-9478 |
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