Individual
PAULA J. BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
66 CLUB RD STE NO350, EUGENE, OR 97401-2420
(541) 343-1728
Mailing address
147 AYERS RD, EUGENE, OR 97408-1604
(408) 890-1505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
101YP2500X
Professional Counselor
Primary
C7178
OR
Other
Enumeration date
11/06/2020
Last updated
12/20/2022
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