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Organization

BLOOM PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE COUSIN MA, LPC, LMHC (OWNER/THERAPIST)
(608) 492-1301
Entity
Organization

Contact information

Practice address
409 W SOUTH ST, STOUGHTON, WI 53589-2459
(608) 492-1301
Mailing address
2935 S FISH HATCHERY RD STE 334, FITCHBURG, WI 53711-6434
(608) 492-1301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/23/2026
Last updated
03/26/2026
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