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Brianna Elaina Bloom
Mental Health Counselor in Vinita, Oklahoma
NPI 1619647427

Brianna Elaina Bloom is a Mental Health Counselor based in Vinita, OK and is specialized in Mental Health. Brianna Elaina Bloom practices in Vinita, OK. The NPI Number for Brianna Elaina Bloom is 1619647427 and holds a License No. (Oklahoma).

The current practice location address for Brianna Elaina Bloom is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 918-256-6476 and via fax at 918-256-3628.

Location: 405 E Excelsior Ave, Vinita, OK, 74301-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619647427
Provider Name
Brianna Elaina Bloom
Credential
Provider Entity Type
Individual
Gender
Female
Address
405 E Excelsior Ave, Vinita, OK, 74301-4226
Phone Number
918-256-6476
Fax Number
918-256-3628
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
918-256-3628
person
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
918-256-3628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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