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MRS. NICOLE JOYCE BLOOM LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790067544

Individual Registrant:
MRS. NICOLE JOYCE BLOOM LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
420 DEANNE AVE  NEWCASTLE, WY 82701-2936 US
Tel: 307-746-4456  Fax: 307-746-4470

Contact information for business:
40 WOCICKI LN  NEWCASTLE, WY 82701-8700 US
Tel: 307-746-8107  Fax: --

Registration Information:
NPI: 1790067544
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
WYLPC-1592

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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