Individual
DAMARA MALBRUE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7959
LA
101YM0800X
Mental Health Counselor
7959
LA
101YP2500X
Professional Counselor
Primary
7959
LA
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
7959
LA
Other
Enumeration date
05/03/2022
Last updated
12/29/2024
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