Individual
MATTHEW RYAN KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-3460
(571) 652-4486
Mailing address
2001 COLUMBIA PIKE APT 415, ARLINGTON, VA 22204-4524
(330) 440-2206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016946
VA
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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