Individual
KATHARINE BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CST
Contact information
Practice address
2136 FORD PKWY # 8131, SAINT PAUL, MN 55116-1863
(612) 568-2864
Mailing address
2136 FORD PKWY # 8131, SAINT PAUL, MN 55116-1863
(612) 568-2864
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
100819
IA
106H00000X
Marriage & Family Therapist
Primary
3572
MN
106H00000X
Marriage & Family Therapist
42747
MT
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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