| Indigo Counseling Llc | |
|
1907 Linda Ln La Grande OR 97850-3339 | |
| (503) 754-8941 | |
| (541) 612-5322 |
| Full Name | Indigo Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1907 Linda Ln, La Grande, Oregon |
| Authorized Official Name and Position | Angel Damara (OWNER/CLINICIAN) |
| Authorized Official Contact | 5027548941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Counseling Llc 1907 Linda Ln La Grande OR 97850-3339 Ph: (503) 754-8941 | Indigo Counseling Llc 1907 Linda Ln La Grande OR 97850-3339 Ph: (503) 754-8941 |
| NPI Number | 1871313254 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871313254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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