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Organization
BLUE SKIES PSYCHOLOGICAL SERVICES, LLC
Active
Organization
BLUE SKIES PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN DODGE PSYD (OWNER)
(775) 297-8855
Entity
Organization
Contact information
Practice address
3495 LAKESIDE DR # 1093, RENO, NV 89509-4841
(775) 297-8855
Mailing address
1900 NE 3RD ST STE 106-1019, BEND, OR 97701-3894
(775) 297-8855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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