Whalio Doctors

NPI 1003093584

Virginia Adams Bloom, MEDLPC

Practitioner Professional Counselor Austin, TX

Practice location

Address
1310 S 1st St STE 200, Austin, TX 78704-3061
Phone
(512) 627-0390
Fax
(512) 288-1909

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 10301 (TX)

Registry record

NPI
1003093584
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jan 2008
Record last updated
27 Jan 2008

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.