Mr. Jared Dicicco-Bloom
Mr. Jared Dicicco-Bloom is a Mental Health Counselor in New York, New York. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
303 5th Ave Rm 1003New York, NY 10016-6639
Phone: (212) 686-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1508488172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 17, 2020 |
| Last updated in NPPES | May 17, 2020 |
| Certification date | May 17, 2020 |
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