Individual
MRS. KATHERINE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
2880 SLATER RD STE 100, MORRISVILLE, NC 27560-6400
(484) 682-9281
Mailing address
15 HADLEIGH WAY, FUQUAY VARINA, NC 27526-5897
(910) 808-1586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15785
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/26/2017
Last updated
03/20/2023
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