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Organization

FERN HILL REAL ESTATE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH THOMAS RIPLEY MS, LPC, CADC (PRESDENT)
(570) 851-9664
Entity
Organization

Contact information

Practice address
210 JENNIFER ST, MOSCOW, PA 18444-6034
(570) 851-9664
Mailing address
210 JENNIFER ST, MOSCOW, PA 18444-6034
(570) 851-9664

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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