Bloom, Andrea

Bloom, Andrea is an sole proprietor health care provider with primary practice located at 705 W 7Th Ave Ste E , Spokane WA 99204-2836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bloom, Andrea can be contacted via phone (509) 593-0431.

Contact Information

Primary practice address
705 W 7Th Ave Ste E Spokane WA 99204-2836
Phone: (509) 593-0431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60685138 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60958954 Washington

Profile Details

NPI number 1932590213
LBN Legal business name Bloom, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2015
Last updated Sep 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932590213 NPPES
Washington Other 1932590213 SOLO PRACTICE

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