Blue Libelula INC

NPI #1003490590 in Baker City, Oregon

Provider Information

NPI Number
1003490590
Entity Type
Organization
Organization Name
Blue Libelula INC
Subpart
Yes (part of a larger organization)
Parent Organization
BLUE LIBELULA INC
Primary Specialty
Psychologist - Counseling
Enumeration Date
May 10, 2021
Last Updated
Feb 7, 2024

Practice Location

Address
2509 1ST ST
State
Oregon
ZIP Code
97814-2301
Phone
(818) 579-2156

Authorized Official

Name
GUADALUPE KIRKLIN, LMFT
Title
PRESIDENT / OWNER
Phone
(805) 701-9894

Specialties & Taxonomy Codes

Specialty
Psychologist - CounselingCounseling

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