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General NPI Number Information
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NPI Number | 1881573020
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Entity Type | Organization
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Legal Business Name | BRIDGE & BLOOM THERAPY AND CONSULTING PLLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 122 COBURN WOODS DR
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City | NASHUA
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State | NH
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Zip | 03063-2844
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Country | US
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Telephone | 731-819-0664
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Fax |
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Provider Business Mailing Address
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Address Line | 52 NASHUA ST STE 123
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City | MILFORD
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State | NH
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Zip | 03055-3717
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Country | US
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Telephone | 978-743-9581
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Fax |
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Authorized Official
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Title or Position | LICENSE MARRIAGE & FAMILY THERAPIST
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Name | ALISON MASK
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Credential | MA
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Telephone | 731-819-0664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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