# BLUMBERG FAMILY THERAPY GROUP INC

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

## Provider details

- **NPI number:** 1043751076
- **Authorized official:** ADRIENNE BLUMBERG LMFT (PRESIDENT)
- **Authorized official phone:** (858) 349-1422

## Contact information

- **Practice address:** 13224 OCEAN VISTA RD, SAN DIEGO, CA 92130-1862
- **Practice address phone:** (858) 349-1422
- **Mailing address:** 11622 EL CAMINO REAL, SAN DIEGO, CA 92130-2049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 52150 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017