Individual
MS. GRACE GINA HIPONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, ACS, LPC
Contact information
Practice address
12584 DARBY BROOK CT, WOODBRIDGE, VA 22192-2485
(866) 528-3385
(703) 499-9889
Mailing address
5642 RAVENEL LN, SPRINGFIELD, VA 22151-2429
(404) 849-6516
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0701004097
VA
Other
Enumeration date
08/13/2010
Last updated
10/05/2011
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