# BLOOM COUNSELING AND CONSULTING, INC

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

## Provider details

- **NPI number:** 1144999004
- **Authorized official:** AMY HUYNH JORDISON LMFT (DIRECTOR)
- **Authorized official phone:** (949) 562-3085

## Contact information

- **Practice address:** 1400 QUAIL ST STE 180, NEWPORT BEACH, CA 92660-2730
- **Practice address phone:** (949) 562-3085
- **Mailing address:** 3129 CORAL AVE APT B, COSTA MESA, CA 92626-2472

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2021
- **Last updated:** 05/12/2023