Bloom Counseling, PC

NPI #1073824991 in Ardmore, Oklahoma

Provider Information

NPI Number
1073824991
Entity Type
Organization
Organization Name
Bloom Counseling, PC
Primary Specialty
Counselor - Professional
Enumeration Date
Jun 25, 2010
Last Updated
Jun 29, 2010

Practice Location

Address
3113 WOODSIDE DR
ZIP Code
73401-9118
Phone
(580) 222-7023

Authorized Official

Name
MATTHEW W BLOOM, LPC
Title
CHIEF EXECUTIVE OFFICER
Phone
(580) 222-7023

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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