| Blossom Forth Family Counseling Inc | |
|
710 S Myrtle Ave # 661 Monrovia CA 91016-3423 | |
| (626) 622-5262 | |
| Not Available |
| Full Name | Blossom Forth Family Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 710 S Myrtle Ave # 661, Monrovia, California |
| Authorized Official Name and Position | Berenice Duran-gomez (LMFT, CLINICAL DIRECTOR) |
| Authorized Official Contact | 6266225262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Forth Family Counseling Inc 710 S Myrtle Ave # 661 Monrovia CA 91016-3423 Ph: (626) 622-5262 | Blossom Forth Family Counseling Inc 710 S Myrtle Ave # 661 Monrovia CA 91016-3423 Ph: (626) 622-5262 |
| NPI Number | 1205650397 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205650397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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