Bloom, Leslie

Bloom, Leslie is an sole proprietor health care provider with primary practice located at 1107 S Glendora Ave , West Covina CA 91790-4923. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bloom, Leslie can be contacted via phone (626) 814-9085.

Contact Information

Primary practice address
1107 S Glendora Ave West Covina CA 91790-4923
Phone: (626) 814-9085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1255466538
LBN Legal business name Bloom, Leslie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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