RICHARD BLOOM

SANTA ROSA, CA
NPI1487678207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC19312)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Mr. RICHARD BLOOM MFT
865 3RD ST
SANTA ROSA, CA 95404-4515
Phone number: 707-665-0846
Mailing Address
Mr. RICHARD BLOOM MFT
755 W SIERRA AVE
COTATI, CA 94931-4281
Phone number:
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