Katharine Bloomquist, LMFT, CST
Marriage & Family Therapist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1104597673
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1104597673
- Entity type
- Individual (NPI-1)
- Name
- Katharine Bloomquist
- Credential
- LMFT, CST
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2021
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3572 | MN | Yes |
| 106H00000X | Marriage & Family Therapist | 42747 | MT | |
| 106H00000X | Marriage & Family Therapist | 100819 | IA |
Practice location
2136 Ford Pkwy # 8131Saint Paul, MN 55116-1863
Phone 612-568-2864
Mailing address
2136 Ford Pkwy # 8131Saint Paul, MN 55116-1863
Phone 612-568-2864
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