Wye Oak Therapeutic Services, LLC
NPI #1063073450 in Stevensville, Maryland
Provider Information
- NPI Number
- 1063073450
- Entity Type
- Organization
- Organization Name
- Wye Oak Therapeutic Services, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 26, 2019
- Last Updated
- Apr 3, 2023
Practice Location
- Address
- 165 LOG CANOE CIR STE B-3
- City
- Stevensville
- State
- Maryland
- ZIP Code
- 21666-2149
- Phone
- (443) 249-3351
Authorized Official
- Name
- CRYSTAL R BLANCHARD, LCPC
- Title
- OWNER/PSYCHOTHERAPIST
- Phone
- (443) 249-2601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Counselor - Professional — Professional |
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