Organization
JACKIE B. THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN BISCOE LCPC (OWNER)
(301) 690-5509
Entity
Organization
Contact information
Practice address
12045 ROUSBY HALL RD, LUSBY, MD 20657-2785
(301) 690-5509
Mailing address
12045 ROUSBY HALL RD, LUSBY, MD 20657-2785
(301) 690-5509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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