Organization
BLUE LIBELULA INC
Active
Parent organization
BLUE LIBELULA INC
Other names
BLUE LIBELULA PSYCHOLOGY, Guadalupe Kirklin
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE LIBELULA INC
Authorized official
GUADALUPE KIRKLIN LMFT (PRESIDENT / OWNER)
(805) 701-9894
Entity
Organization
Contact information
Practice address
2509 1ST ST, BAKER CITY, OR 97814-2301
(818) 579-2156
(541) 239-5506
Mailing address
PO BOX 865, BAKER CITY, OR 97814-0865
(818) 579-2156
(541) 239-5506
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
02/07/2024
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