| Jake B Bloom, LPC | |
|
4076 Kothlow Ave, Menomonie, WI 54751-3090 | |
| (715) 235-4537 | |
| (715) 235-4535 |
| Full Name | Jake B Bloom |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4076 Kothlow Ave, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730712308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4058-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jake B Bloom, LPC 803 Ballentine Rd, Menomonie, WI 54751-3740 Ph: (715) 505-0101 | Jake B Bloom, LPC 4076 Kothlow Ave, Menomonie, WI 54751-3090 Ph: (715) 235-4537 |
Kiersten Lynette Buck, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Rachel Moe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Kelley Rae Mendalski, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Kelsey Eileen Trinkner, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3001 Us Highway 12 E Ste 160, Menomonie, WI 54751 Phone: 715-232-1116 Fax: 715-232-5987 | |
Alethea Ann Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: N4762 State Road 25, Menomonie, WI 54751 Phone: 715-231-2010 | |
Victoria Rose Perron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7116 | |
Diane K. Delegard, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |