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Organization
THE BLOOM
Active
Organization
THE BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LEE (OWNER)
(925) 678-4010
Entity
Organization
Contact information
Practice address
2010 CROW CANYON PL STE 100, SAN RAMON, CA 94583-1344
(925) 678-4010
Mailing address
920 BAYSWATER AVE APT 208, BURLINGAME, CA 94010-3137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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