Organization
WYE OAK THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL R BLANCHARD LCPC (OWNER/PSYCHOTHERAPIST)
(443) 249-2601
Entity
Organization
Contact information
Practice address
165 LOG CANOE CIR STE B-3, STEVENSVILLE, MD 21666-2149
(443) 249-3351
Mailing address
165 LOG CANOE CIR STE B-3, STEVENSVILLE, MD 21666-2149
(443) 249-3351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/26/2019
Last updated
04/03/2023
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