Individual
MRS. KATHARINE DUGAN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
222 SAINT JOHN ST, SUITE 232, PORTLAND, ME 04102-3041
(207) 756-5093
(207) 774-7356
Mailing address
32 WARREN AVE, CAPE ELIZABETH, ME 04107-1025
(207) 799-1920
(207) 774-7356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2270
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294300099
MAINECARE
ME
Enumeration date
07/12/2006
Last updated
07/08/2007
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