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Organization
COLLABORATIVE COUNSELING CENTER
Active
Organization
COLLABORATIVE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSIA LEA BLOOM MFT (MARRIAGE FAMILY THERAPIST/ OWNER)
(831) 588-8032
Entity
Organization
Contact information
Practice address
6001 BUTLER LN STE 206, SCOTTS VALLEY, CA 95066-3550
(831) 588-8032
(831) 440-9016
Mailing address
6001 BUTLER LN STE 206, SCOTTS VALLEY, CA 95066-3550
(831) 588-8032
(831) 440-9016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
28615
CA
106H00000X
Marriage & Family Therapist
Primary
45342
CA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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