Bloom Counseling, Pc

NPI 1073824991 - Counselor - 101YP2500X

NPI Details
NPI 1073824991
Enumeration Date 06/25/2010
Last Updated 06/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MATTHEW W MATTHEW
Position CHIEF EXECUTIVE OFFICER
Phone (580) 222-7023
Fax
Practice Location
3113 WOODSIDE DR
ARDMORE OK, 73401-9118, US
Phone (580) 222-7023
Fax
Business Location
3113 WOODSIDE DR
ARDMORE OK, 73401-9118, US
Phone (580) 222-7023
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Oklahoma
License Number 4312
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According to our database, Bloom Counseling, Pc NPI is 1073824991, taxonomy code is 101YP2500X and license number is 4312, license state is located at Oklahoma. Bloom Counseling, Pc physically located at 3113 Woodside Dr, Ardmore OK, 73401-9118. NPI Number 1033115704 has the healthcare provider type.

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1073824991 NPI number is provided on an as is basis without warranty of any kind. 1073824991 is maintained by the National Plan & Provider Enumeration System. The contents of Bloom Counseling, Pc are for informational purposes only.