| In Bloom Counseling, Pllc | |
|
3633 W Lake Ave Ste 308 Glenview IL 60026-5803 | |
| (727) 237-6735 | |
| Not Available |
| Full Name | In Bloom Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3633 W Lake Ave Ste 308, Glenview, Illinois |
| Authorized Official Name and Position | Jessica Bloom (OWNER) |
| Authorized Official Contact | 7272376735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Bloom Counseling, Pllc 4703 Middle Rd Gurnee IL 60031-3223 Ph: (727) 237-6735 | In Bloom Counseling, Pllc 3633 W Lake Ave Ste 308 Glenview IL 60026-5803 Ph: (727) 237-6735 |
| NPI Number | 1700537743 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700537743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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