LARISSA BLOOM, LASAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1568098846
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | LASAC-15335 (AZ) |
Frequently Asked Questions
NPI 1568098846 is the National Provider Identifier for LARISSA BLOOM, LASAC, a Counselor - Addiction (Substance Use Disorder) provider located in Sacaton, AZ. This NPI was enumerated on March 18, 2020.
LARISSA BLOOM, LASAC practices at 483 W SEED FARM RD, Sacaton, AZ 85147.
Quick Facts
- NPI
- 1568098846
- Type
- Individual
- Enumerated
- Mar 18, 2020
- Last Updated
- Mar 18, 2020
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