Provider Demographics
NPI:1174485007
Name:BLUME, KATHRYN (MS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:BLUME
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:HINESBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05461-4460
Mailing Address - Country:US
Mailing Address - Phone:802-448-2348
Mailing Address - Fax:
Practice Address - Street 1:206 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:HINESBURG
Practice Address - State:VT
Practice Address - Zip Code:05461-4460
Practice Address - Country:US
Practice Address - Phone:802-448-2348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health