Graft And Blossom Therapy - A Licensed Clinical Social Worker Corporation

Clinical Social Worker · Hollister, CA

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At a glance

421 Donald Dr, Hollister, CA 95023-6309

NPPES record updated Sep 22, 2026. Public records can lag behind changes at a practice.

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Practice location

421 Donald Dr
Hollister, CA 95023-6309
Professional details: NPI, taxonomy & registry record
NPI1194644724
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Jul 15, 2026
Record updated
Sep 22, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

106H00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

421 Donald Dr
Hollister, CA 95023-6309
Phone
(831) 607-8877
Mailing address
421 DONALD DR

HOLLISTER, CA 950236309
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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