CHARLES MICHAEL BLOOM, JR.

SPRINGFIELD, OR
NPI1699320325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-08
Last Update Date2020-01-06
Business Address
CHARLES MICHAEL BLOOM, JR. QMHP
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-726-2467
Mailing Address
CHARLES MICHAEL BLOOM, JR. QMHP
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4100
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