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Organization
DESTINY RIPLEY
Active
Organization
DESTINY RIPLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANA JONES (PROGRAM ADMINISTRATOR)
(925) 389-9093
Entity
Organization
Contact information
Practice address
602 WOODLARK DR, SUISUN CITY, CA 94585-2244
(707) 399-8927
Mailing address
602 WOODLARK DR, SUISUN CITY, CA 94585-2244
(707) 399-8927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/31/2022
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