Individual provider · Type 1 NPI

Charles Michael Bloom, Jr., QMHP

Mental Health Counselor · Springfield, OR

NPI number 1699320325 Active

Practice location

1651 Centennial Blvd
Springfield, OR 97477-3363

Call (541) 726-2467 Map

Fax (541) 684-4156

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699320325

Charles Michael Bloom, Jr., QMHP's National Provider Identifier is 1699320325, issued on Aug 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Jan 6, 2020.