CAITLIN BLOOM
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1255791620- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3401 45TH ST S STE A, FARGO, ND, 58104
- Phone
- (701) 356-4384
- Fax
- (701) 356-4383
Specialties & Taxonomies
Counselor, Mental Health
Behavior Technician
Primary