Organization
BLUEFISH THERAPY AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA SAMUELSON PSYD (OWNER)
(240) 780-8254
Entity
Organization
Contact information
Practice address
1680 E GUDE DR, ROCKVILLE, MD 20850-1360
(240) 780-8254
Mailing address
PO BOX 2326, MONTGOMERY VILLAGE, MD 20886-2326
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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