# INDIGO COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871313254
- **Authorized official:** ANGEL DAMARA LCSW (OWNER/CLINICIAN)
- **Authorized official phone:** (502) 754-8941

## Contact information

- **Practice address:** 1907 LINDA LN, LA GRANDE, OR 97850-3339
- **Practice address phone:** (503) 754-8941
- **Practice address fax:** (541) 612-5322
- **Mailing address:** 1907 LINDA LN, LA GRANDE, OR 97850-3339
- **Mailing address phone:** (503) 754-8941
- **Mailing address fax:** (541) 612-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024