Individual
AILISH A RIGGS DERMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N WASHINGTON ST STE 100, FALLS CHURCH, VA 22046-3538
(202) 813-0696
Mailing address
11145 GLADE DR, RESTON, VA 20191-4706
(415) 990-0973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014865
VA
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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