Individual
BETSY KAREN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
3630 N 50TH ST, TAMPA, FL 33610
(813) 621-8781
Mailing address
190 112TH AVE N, APT 1602, ST PETERSBURG, FL 33716
(520) 664-7820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068-0000546
VT
101YM0800X
Mental Health Counselor
Primary
PMH1591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008053
—
VT
Enumeration date
04/07/2006
Last updated
03/01/2019
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