SearchNorth Carolina101YP2500X

Amanda Bloom, M.ED., NCC, LPC

NPI 1164660551 · on the registry since 2009 · sole proprietor

Practice

Address
355 S Madison Blvd
Suite C1
Roxboro, NC 27573
Phone
(336) 599-8366
Fax
(336) 322-6168
Organisation at this address
Triumph Llc
Triumph Llc
Triumph Llc
Triumph, Llc
County Of Person
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina