Mr Larry E Blossom, MA in Pueblo, CO

Mr Larry E Blossom, MA is a Counselor - Professional based in Pueblo, Colorado. Mr Larry E Blossom is licensed to practice in Virginia (license number 0701002333) and his current practice location is 611 S Union Ave Apt A, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 696-4252.

NPI number for Mr Larry E Blossom is 1366503138 and his current mailing address is 3225 Independence Rd, Canon City, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366503138.

Contact Information

	Mr Larry E Blossom, MA
	611 S Union Ave Apt A, Pueblo, CO 81004-2250
	(719) 696-4252
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry E Blossom
Gender	Male
Speciality	Counselor - Professional
Location	611 S Union Ave Apt A, Pueblo, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1366503138
Provider Enumeration Date: 12/13/2006
Last Update Date: 04/19/2022

Medical Identifiers

Medical identifiers for Mr Larry E Blossom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366503138	NPI	-	NPPES
5409152	Medicaid	VA
5409179	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701002333 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry E Blossom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Larry E Blossom, MA 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351	Mr Larry E Blossom, MA 611 S Union Ave Apt A, Pueblo, CO 81004-2250 Ph: (719) 696-4252

Reviews and Comments

Counselor in Pueblo, CO

Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Melissa Mahan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119

Mr Larry E Blossom, MA - Counselor in Pueblo, CO