| Jackie B. Therapy | |
|
12045 Rousby Hall Rd Lusby MD 20657-2785 | |
| (301) 690-5509 | |
| Not Available |
| Full Name | Jackie B. Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12045 Rousby Hall Rd, Lusby, Maryland |
| Authorized Official Name and Position | Jaclyn Biscoe (OWNER) |
| Authorized Official Contact | 3016905509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie B. Therapy 12045 Rousby Hall Rd Lusby MD 20657-2785 Ph: (301) 690-5509 | Jackie B. Therapy 12045 Rousby Hall Rd Lusby MD 20657-2785 Ph: (301) 690-5509 |
| NPI Number | 1730936261 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730936261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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