Individual
MONICA HEATHER BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
7320 SW HUNZIKER RD STE 201, TIGARD, OR 97223-2301
(503) 778-0787
Mailing address
7320 SW HUNZIKER RD STE 201, TIGARD, OR 97223-2301
(503) 778-0787
(541) 631-6087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R8814
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500791700
—
OR
Enumeration date
02/26/2024
Last updated
06/17/2024
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