location
search-icon
person
Mr. Larry E. Blossom, MA
Professional Counselor in Pueblo, Colorado
NPI 1366503138

Larry E. Blossom is a Professional Counselor based in Canon City, CO and is specialized in Professional. Larry E. Blossom practices in Pueblo, CO and has the professional credentials of MA. The NPI Number for Larry E. Blossom is 1366503138 and holds a License No. 0701002333 (Colorado).

The current practice location address for Larry E. Blossom is 611 S Union Ave Apt A, Pueblo, CO and can be reached out via phone at 719-696-4252.

Location: 611 S Union Ave Apt A, Pueblo, CO, 81212-9380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366503138
Provider Name
Larry E. Blossom
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
611 S Union Ave Apt A, Pueblo, CO, 81212-9380
Phone Number
719-696-4252
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5409152 05 VA
5409179 05 VA
institution
Provider Business Practice Location Address Details
Address
611 S Union Ave Apt A
City
Pueblo
State
Colorado
Zip
81004-2250
Phone Number
719-696-4252
Fax Number
person
Provider Business Mailing Address Details
Address
611 S Union Ave Apt A
City
Pueblo
State
Colorado
Zip
81004-2250
Phone Number
719-696-4252
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701002333 (Virginia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.