Blue Wave Counseling & Psychotherapy LLC
NPI #1891391587 in Pocomoke City, Maryland
Provider Information
- NPI Number
- 1891391587
- Entity Type
- Organization
- Organization Name
- Blue Wave Counseling & Psychotherapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 8, 2020
- Last Updated
- Feb 3, 2021
Practice Location
- Address
- 1519 MARKET ST
- City
- Pocomoke City
- State
- Maryland
- ZIP Code
- 21851-1711
- Phone
- (484) 767-5216
Authorized Official
- Name
- SEAN BUTLER, LCSW-C
- Title
- OWNER
- Phone
- (484) 767-5216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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| MS. Amanda Kristen Cullen, LCSW-C | |
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| MRS. Shelonda Latisha Townsend, LCSW | |
| Sean Butler |
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