| Blue Rose Counseling Center | |
|
8004 Red Jacket Way Jessup MD 20794-9004 | |
| (443) 629-9661 | |
| Not Available |
| Full Name | Blue Rose Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8004 Red Jacket Way, Jessup, Maryland |
| Authorized Official Name and Position | Crystal Lorraine Miles-ruffin (DIRECTOR) |
| Authorized Official Contact | 4103961392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Rose Counseling Center 8004 Red Jacket Way Jessup MD 20794-9004 Ph: (443) 629-9661 | Blue Rose Counseling Center 8004 Red Jacket Way Jessup MD 20794-9004 Ph: (443) 629-9661 |
| NPI Number | 1780202655 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780202655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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