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Organization
BLOOM FAMILY THERAPIST GROUP, INC.
Active
Organization
BLOOM FAMILY THERAPIST GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA TOPETE LMFT (LICENSED THERAPIST / FOUNDER)
(619) 500-1843
Entity
Organization
Contact information
Practice address
3511 CAMINO DEL RIO S STE 500, SAN DIEGO, CA 92108-4022
(619) 500-1843
Mailing address
PO BOX 1494, IMPERIAL BEACH, CA 91933-1494
(619) 500-1843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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