Healthcare Provider Details

I. General information

NPI: 1932039120
Provider Name (Legal Business Name): CATCH A BUBBLE COUNSELING, LICENSED CLINICAL SOCIAL WORKER, APC, A CALIFORNIA PROFESSIONAL CORPORATI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18282 CHABLIS RD
RAMONA CA
92065-7024
US

IV. Provider business mailing address

18282 CHABLIS RD
RAMONA CA
92065-7024
US

V. Phone/Fax

Practice location:
  • Phone: 858-395-4595
  • Fax:
Mailing address:
  • Phone: 858-395-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHARON E PETERSON
Title or Position: OWNER
Credential: LCSW
Phone: 858-395-4595