Individual
KATHRYN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5354 PARKDALE DR FL 2, SAINT LOUIS PARK, MN 55416-1603
(866) 821-0281
Mailing address
5354 PARKDALE DR FL 2, SAINT LOUIS PARK, MN 55416-1603
(866) 821-0281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02278
MN
101YP2500X
Professional Counselor
178011616
IL
101YP2500X
Professional Counselor
180011516
IL
Other
Enumeration date
08/31/2016
Last updated
07/24/2019
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