| Blossom Psychotherapy And Services | |
|
8608 Utica Ave Rancho Cucamonga CA 91730-4877 | |
| (909) 681-7858 | |
| Not Available |
| Full Name | Blossom Psychotherapy And Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8608 Utica Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Nicole M Mascarenbas (OWNER) |
| Authorized Official Contact | 9096817858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Psychotherapy And Services 8344 Heather Ave Fontana CA 92335-8070 Ph: (909) 681-7858 | Blossom Psychotherapy And Services 8608 Utica Ave Rancho Cucamonga CA 91730-4877 Ph: (909) 681-7858 |
| NPI Number | 1568097186 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568097186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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