Relief With Rissa | |
1404 S Main Chapel Way Ste 104 Gambrills MD 21054-1860 | |
(240) 264-7941 | |
Not Available |
Full Name | Relief With Rissa |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1404 S Main Chapel Way Ste 104, Gambrills, Maryland |
Authorized Official Name and Position | Mirissa Mercedes Jackson (OWNER/ THERAPIST) |
Authorized Official Contact | 2402647941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Relief With Rissa Psc 78 Box 7226 Apo AP 96326-0073 Ph: (240) 264-7941 | Relief With Rissa 1404 S Main Chapel Way Ste 104 Gambrills MD 21054-1860 Ph: (240) 264-7941 |
NPI Number | 1780306738 |
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Provider Enumeration Date | 09/16/2022 |
Last Update Date | 01/10/2023 |
Certification Date | 01/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780306738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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