Female

Mrs. Katharine D. Bloom LCPC

Professional Counselor in Portland, ME(View on Map)

Full Name

Mrs. Katharine Dugan Bloom LCPC

NPI Number

1326073578

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/12/2006

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

CC2270

Contact
Information

Purpose

Mailing
Location

Address

32 WARREN AVE
222 SAINT JOHN ST

City

Cape Elizabeth
Portland

State

ME
ME

Postal Code

04107-1025
04102-3041

Country

US
US

Telephone Number

(207) 799-1920
(207) 756-5093

Identifiers

Identifier

294300099

Identifier State

ME

Identifier Issuer

MAINECARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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