MEDICARE: JOANNA COOK BLOOMER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	153267	CA

General Provider Information

NPI Number	:	1205726502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA COOK BLOOMER LMFT

Provider Business Mailing Address
First Line	:	1138 S LA CIENEGA BLVD APT 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-5901
Country	:	US
Telephone Number	:	213-709-1042
Fax Number	:

Provider Business Practice Location Address
First Line	:	1138 S LA CIENEGA BLVD APT 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-5901
Country	:	US
Telephone Number	:	213-709-1042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	03/11/2026

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Directions to “ JOANNA COOK BLOOMER LMFT” Practice Location

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