NPI 1003490590
Blue Libelula INC
Practice location
- Address
- 2509 1st St, Baker City, OR 97814-2301
- Phone
- (818) 579-2156
- Fax
- (541) 239-5506
- Mailing address
- PO Box 865, Baker City, OR 97814-0865
Authorised official
- Name
- Guadalupe Kirklin
- Title
- President / Owner
- Phone
- (805) 701-9894
Registered specialties
Counseling Psychologist
Primary
Registry record
- NPI
- 1003490590
- Entity type
- Organization
- NPI issued
- 10 May 2021
- Record last updated
- 7 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.