Individual provider · Type 1 NPI
Sophia Blossom, LPC
Professional Counselor · Bryan, TX
NPI number
1255825519
Active
Practice location
7875 Prospect Ln
Bryan, TX 77808-8790
Mailing address
3708 E 29th St Unit 347
Bryan, TX 77802-3901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 76413 (TX) |
Professional Counselor: Definition to come...
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About NPI 1255825519
Sophia Blossom, LPC's National Provider Identifier is 1255825519, issued on Jun 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bryan, TX. The record was last updated on Apr 16, 2025.