Individual
DEBRA MICHELLE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE, GLENDALE, AZ 85308-8725
(623) 800-7980
Mailing address
45926 N 37TH AVE, NEW RIVER, AZ 85087-7022
(025) 570-5514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18959
AZ
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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