Individual
MRS. KATHERINE RUTH BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203
(425) 961-3775
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 961-3775
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60889511
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60889511
WA STATE MARRIAGE AND FAMILY THERAPY LICENSE NUMBER
WA
Enumeration date
01/15/2013
Last updated
05/29/2019
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