| Bloom Counseling, Pc | |
|
3113 Woodside Dr Ardmore OK 73401-9118 | |
| (580) 222-7023 | |
| Not Available |
| Full Name | Bloom Counseling, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3113 Woodside Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Matthew W Bloom (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5802227023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling, Pc 3113 Woodside Dr Ardmore OK 73401-9118 Ph: (580) 222-7023 | Bloom Counseling, Pc 3113 Woodside Dr Ardmore OK 73401-9118 Ph: (580) 222-7023 |
| NPI Number | 1073824991 |
|---|---|
| Provider Enumeration Date | 06/25/2010 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073824991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4312 (Oklahoma) | Primary |
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