person
Monica Heather Bloom, LPCA
Professional Counselor in Medford, Oregon
NPI 1083470215

Monica Heather Bloom is a Professional Counselor based in Medford, OR and is specialized in Professional. Monica Heather Bloom practices in Medford, OR and has the professional credentials of LPCA. The NPI Number for Monica Heather Bloom is 1083470215 and holds a License No. R8814 (Oregon).

The current practice location address for Monica Heather Bloom is 1314 Center Dr., Medford, OR and can be reached out via phone at 541-631-6087 and via fax at 541-631-6087.

Location: 1314 Center Dr., Medford, OR, 97501
person
Provider Profile Details
NPI Number
1083470215
Provider Name
Monica Heather Bloom
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
1314 Center Dr., Medford, OR, 97501
Phone Number
541-631-6087
Fax Number
541-631-6087
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500791700 05 OR
institution
Provider Business Practice Location Address Details
Address
1314 Center Dr.
City
State
Zip
97501
Phone Number
541-631-6087
Fax Number
541-631-6087
person
Provider Business Mailing Address Details
Address
1314 Center Dr.
City
State
Zip
97501
Phone Number
541-631-6087
Fax Number
541-631-6087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
R8814 (Oregon)
Definition
Definition to come...
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