# ZEN BLOOM COUNSELING INDIVIDUAL AND FAMILY THERAPY CORPORATION

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

## Provider details

- **NPI number:** 1437948544
- **Authorized official:** LEENA FAWZI YACOB (LICENSED MARRIAGE & FAMILY THERAPY)
- **Authorized official phone:** (951) 904-6109

## Contact information

- **Practice address:** 29645 RANCHO CALIFORNIA RD STE 238, TEMECULA, CA 92591-5211
- **Practice address phone:** (951) 904-6109
- **Mailing address:** 29645 RANCHO CALIFORNIA RD STE 238, TEMECULA, CA 92591-5211

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 05/05/2025