# BOUNTIFUL HEALTH FAMILY THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043058001
- **Authorized official:** PAUL KACIK (SECRETARY)
- **Authorized official phone:** (949) 232-4446

## Contact information

- **Practice address:** 1990 N CALIFORNIA BLVD FL 8, WALNUT CREEK, CA 94596-3742
- **Practice address phone:** (949) 232-4446
- **Mailing address:** PO BOX 13244, NEWPORT BEACH, CA 92658-5090
- **Mailing address phone:** (949) 232-4446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 07/16/2024
