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

Mr. Larry E. Blossom, MA

Individual provider Professional Counselor · NPI 1366503138

Mr. Larry E. Blossom, MA is a Professional Counselor in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

611 S Union Ave Apt A
Pueblo, CO 81004-2250
Phone: (719) 696-4252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701002333 (VA)

Record details

NPI number1366503138
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address3225 Independence Rd, Canon City, CO 81212-9380

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