| Brent Bloomster, PCC, PHD | |
|
6503 E Broad St, Columbus, OH 43213-1692 | |
| (614) 355-8160 | |
| Not Available |
| Full Name | Brent Bloomster |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 6503 E Broad St, Columbus, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396919437 | NPI | - | NPPES |
| 0210420 | Medicaid | OH | |
| 2846675 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E0001739-SUPV (Ohio) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 5599 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Bloomster, PCC, PHD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Brent Bloomster, PCC, PHD 6503 E Broad St, Columbus, OH 43213-1692 Ph: (614) 355-8160 |
Mr. Daryush Parvinbenam, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 287 W Johnstown Rd, Columbus, OH 43230 Phone: 614-305-5102 Fax: 614-383-7786 | |
Molly Marie Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Bethel Rd, Columbus, OH 43220 Phone: 614-459-9022 Fax: 614-451-3017 | |
Mr. Lucas Alan Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-938-0350 Fax: 614-938-0170 | |
Ms. Katherine Anne Risinger, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8550 Fax: 614-355-8593 | |
Tracie Lynn Keller, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1080 Fishinger Rd, Suite 103, Columbus, OH 43221 Phone: 614-822-7819 Fax: 614-372-5590 | |
Jennifer R Williams, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-227-6865 Fax: 614-227-6873 | |
Heather Russo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8695 Fax: 614-355-7855 |