JACQUELINE LEAH BLOOM-GENEVITZ

LOS ANGELES, CA
NPI1073652327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT 43614)
Additional Taxonomies103T00000X Psychologist
Enumeration Date2007-02-05
Last Update Date2022-05-19
Business Address
Ms. JACQUELINE LEAH BLOOM-GENEVITZ PsyD, MFT
12340 SANTA MONICA BLVD STE 214
LOS ANGELES, CA 90025
Phone number: 310-582-1513
Mailing Address
Ms. JACQUELINE LEAH BLOOM-GENEVITZ PsyD, MFT
464 S CENTRAL AVE
GLENDALE, CA 91204-1602
Phone number: 310-582-1513