Organization
INDIGO COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL DAMARA LCSW (OWNER/CLINICIAN)
(502) 754-8941
Entity
Organization
Contact information
Practice address
1907 LINDA LN, LA GRANDE, OR 97850-3339
(503) 754-8941
(541) 612-5322
Mailing address
1907 LINDA LN, LA GRANDE, OR 97850-3339
(503) 754-8941
(541) 612-5322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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