Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blossom Professional Clinical Counselor Services, Inc

Organization Mental Health Counselor · NPI 1588590731

Blossom Professional Clinical Counselor Services, Inc provides Mental Health Counselor services 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
Show map & directions

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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