MR. LARRY BLOSSOM, M.A.

Counselor - Professional

Active Individual
NPI: 1366503138

Practice Address

611 S UNION AVE APT A
Pueblo, CO 81004

Phone: (719) 696-4252

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 0701002333 (VA)

Frequently Asked Questions

NPI 1366503138 is the National Provider Identifier for MR. LARRY BLOSSOM, M.A., a Counselor - Professional provider located in Pueblo, CO. This NPI was enumerated on December 13, 2006.
MR. LARRY BLOSSOM, M.A. practices at 611 S UNION AVE APT A, Pueblo, CO 81004.

Quick Facts

NPI
1366503138
Type
Individual
Enumerated
Dec 13, 2006
Last Updated
Apr 19, 2022

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