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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES MICHAEL BLOOM, JR., QMHP

Active

CHARLES MICHAEL BLOOM, JR., QMHP is a Mental Health Counselor healthcare provider located in SPRINGFIELD, Oregon. NPI 1699320325 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SPRINGFIELD, OR

Registration Details

NPI Number
1699320325
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2019 (6.9741498112486 yrs)
Last Updated
Jan 6, 2020

Practice Information

Address
1651 CENTENNIAL BLVD
SPRINGFIELD, OR, 974773363
Browse OR providers · Browse ZIP 97477
Phone
5417262467
Fax
5416844156
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SPRINGFIELD, OR

Name Credential NPI
DR. TRUDIE LYNNE ATKINSON PH.D., LPC 1093735250
MR. RICK CHAMBERLAIN M.A. 1487751376
KATT GILLIS MAYFAIR 1518055102
CHERI ANGELA BRIGGS 1497843031
JASON BARRETT CONNER I 1578651592
ELIZABETH LANE CHANDLER M.S., Q.M.H.P. 1780772772
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.