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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