MS. Carol Diane Bloomquist, MA MFT
NPI #1104199835 in Saint Helena, California
Provider Information
- NPI Number
- 1104199835
- Entity Type
- Individual
- Name
- MS. Carol Diane Bloomquist, MA MFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA MFT
- Enumeration Date
- Feb 10, 2012
- Last Updated
- Feb 10, 2012
Practice Location
- Address
- 3428 SILVERADO TRL N
- City
- Saint Helena
- State
- California
- ZIP Code
- 94574-9662
- Phone
- (707) 963-1419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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