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Organization
BLOSSOM WELLNESS SPA INC
Active
Organization
BLOSSOM WELLNESS SPA INC
Active
Other names
Self Care Continuum, Blossom Wellness Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE PRINZIVALLI M.A. LMFT (PRESIDENT/OWNER/LMFT)
(310) 806-5386
Entity
Organization
Contact information
Practice address
10642 SANTA MONICA BLVD APT 209, LOS ANGELES, CA 90025-4850
(323) 879-7809
(323) 879-3899
Mailing address
10008 NATIONAL BLVD # 236, LOS ANGELES, CA 90034-3809
(323) 879-7809
(323) 879-3899
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
09/29/2026
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