MS. Virginia Adams Bloom, MED, LPC

NPI #1003093584 in Austin, Texas

Provider Information

NPI Number
1003093584
Entity Type
Individual
Name
MS. Virginia Adams Bloom, MED, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MED, LPC
Enumeration Date
Jan 27, 2008
Last Updated
Jan 27, 2008

Practice Location

Address
1310 S 1ST ST STE 200
City
Austin
State
Texas
ZIP Code
78704-3061
Phone
(512) 627-0390

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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