Individual provider · Type 1 NPI

Brianna Elaina Bloom

Mental Health Counselor · Vinita, OK

NPI number 1619647427 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Fax (918) 256-3628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619647427

Brianna Elaina Bloom's National Provider Identifier is 1619647427, issued on Sep 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vinita, OK. The record was last updated on Sep 14, 2021.