Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Michael Bloom, Jr, QMHP

Individual provider Mental Health Counselor · NPI 1699320325

Charles Michael Bloom, Jr, QMHP is a Mental Health Counselor in Springfield, Oregon. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1651 Centennial Blvd
Springfield, OR 97477-3363
Phone: (541) 726-2467
Fax: (541) 684-4156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1699320325
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

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