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)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