| Super Bloom Counseling Llc | |
|
1408 Martin Dr Troy IL 62294-3616 | |
| (270) 873-9007 | |
| Not Available |
| Full Name | Super Bloom Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1408 Martin Dr, Troy, Illinois |
| Authorized Official Name and Position | Cheryl Jean Son (THERAPIST/OWNER) |
| Authorized Official Contact | 2708739007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Bloom Counseling Llc 1408 Martin Dr Troy IL 62294-3616 Ph: (270) 873-9007 | Super Bloom Counseling Llc 1408 Martin Dr Troy IL 62294-3616 Ph: (270) 873-9007 |
| NPI Number | 1225794761 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225794761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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