SearchWisconsinMental Health Counselor

Jake Bloom, LPC

NPI 1730712308 · on the registry since 2020

Practice

Address
4076 Kothlow Ave
Menomonie, WI 54751
Phone
(715) 235-4537
Fax
(715) 235-4535
Organisation at this address
Arbor Place, Inc.
Arbor Place, Inc.
Arbor Place, Inc.
Arbor Place, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-02

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 Wisconsin