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General NPI Number Information
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NPI Number | 1720814825
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Entity Type | Organization
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Legal Business Name | BLOOM MARRIAGE FAMILY AND CHILD COUNSELING SERVICES INC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 5500 MING AVE STE 267
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4696
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Country | US
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Telephone | 661-447-6973
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 MING AVE STE 267
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4696
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Country | US
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Telephone | 661-447-6973
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. RINEE L MITCHELL
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Credential | LMFT
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Telephone | 661-301-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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