Individual provider · Type 1 NPI
Virginia Adams Bloom, MED, LPC
Professional Counselor · Austin, TX
NPI number
1003093584
Active
Practice location
1310 S 1st St Ste 200
Austin, TX 78704-3061
Fax (512) 288-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10301 (TX) |
Professional Counselor: Definition to come...
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About NPI 1003093584
Virginia Adams Bloom, MED, LPC's National Provider Identifier is 1003093584, issued on Jan 27, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jan 27, 2008.