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Debra Michelle Blum
Mental Health Counselor in Glendale, Arizona
NPI 1063002434

Debra Michelle Blum is a Mental Health Counselor based in New River, AZ and is specialized in Mental Health. Debra Michelle Blum practices in Glendale, AZ. The NPI Number for Debra Michelle Blum is 1063002434 and holds a License No. LAC-18959 (Arizona).

The current practice location address for Debra Michelle Blum is 17505 N 79Th Ave, Glendale, AZ and can be reached out via phone at 623-800-7980.

Location: 17505 N 79Th Ave, Glendale, AZ, 85087-7022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063002434
Provider Name
Debra Michelle Blum
Credential
Provider Entity Type
Individual
Gender
Female
Address
17505 N 79Th Ave, Glendale, AZ, 85087-7022
Phone Number
623-800-7980
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17505 N 79Th Ave
City
Glendale
State
Arizona
Zip
85308-8725
Phone Number
623-800-7980
Fax Number
person
Provider Business Mailing Address Details
Address
17505 N 79Th Ave
City
Glendale
State
Arizona
Zip
85308-8725
Phone Number
623-800-7980
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LAC-18959 (Arizona)
Definition
Definition to come...
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