Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Professional Clinical Counselor Services, Inc

Organization Mental Health Counselor · NPI 1588590731

Blossom Professional Clinical Counselor Services, Inc is a Mental Health Counselor in Solana Beach, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Lomas Santa Fe Dr Ste 490
Solana Beach, CA 92075-1287
Phone: (619) 333-8597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1588590731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxine Defank — Owner · (850) 564-6130
NPI enumeratedJune 23, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address201 Lomas Santa Fe Dr Ste 490, Solana Beach, CA 92075-1287

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