NPI 1073824991

Bloom Counseling, PC

Organisation Professional Counselor Ardmore, OK

Practice location

Address: 3113 Woodside Dr, Ardmore, OK 73401-9118
Phone: (580) 222-7023

Authorised official

Name: Matthew W Bloom
Title: Chief Executive Officer
Phone: (580) 222-7023

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 4312 (OK)

Other Counselor providers in Oklahoma →

Registry record

NPI: 1073824991
Entity type: Organization
NPI issued: 25 Jun 2010
Record last updated: 29 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.