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Organization
BLOOM COUNSELING SERVICES
Active
Organization
BLOOM COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANNE TRIAS LMFT (GENERAL PARTNER)
(408) 681-5686
Entity
Organization
Contact information
Practice address
173 N MORRISON AVE STE D, SAN JOSE, CA 95126-2712
(408) 681-5686
(669) 342-4681
Mailing address
173 N MORRISON AVE STE D, SAN JOSE, CA 95126-2712
(408) 681-5686
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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