Individual
DR. CORBEN P BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8340 MEADOW RD STE 134, DALLAS, TX 75231-4280
(214) 265-1777
Mailing address
2914 PAINTED PONY LN, ROCKWALL, TX 75087-6444
(208) 880-2410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68794
TX
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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