Individual
MR. CHRISTOPHER MICHAEL BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
530 NW 27TH ST, BENTON HEALTH CENTER, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/21/2006
Last updated
12/11/2014
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