Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARISSA JOELLE BLOOM, LASAC
ActiveLARISSA JOELLE BLOOM, LASAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SACATON, Arizona. NPI 1568098846 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SACATON, AZ
Registration Details
- NPI Number
- 1568098846
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2020 (6.2622363108547 yrs)
- Last Updated
- Mar 18, 2020
- License
-
LASAC-15335 (AZ)
Practice Information
- Address
-
483 W SEED FARM RDSACATON, AZ, 851475000Browse AZ providers · Browse ZIP 85147
- Phone
- 6025281200
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SACATON, AZ
| Name | Credential | NPI |
|---|---|---|
| JUDY G PEASE | MAPC, LISAC | 1659421493 |
| MR. MICHAEL JOHN ROMERO | LISAC-0659 | 1134307861 |
| WILLIAM DALE BRADFORD | MA,LISAC | 1851579585 |
| RICK E. POULIN | LISAC | 1205014933 |
| TED WHITNEY ALLISON | LISAC | 1508044223 |
| MS. SHARON J. DOWNER | LISAC | 1619155256 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.