Organization
KEYSTONE THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN LANGLAIS RIPPY LPC (LPC & OWNER)
(703) 390-1182
Entity
Organization
Contact information
Practice address
10560 MAIN ST STE 511, FAIRFAX, VA 22030-7173
(703) 390-1182
Mailing address
10560 MAIN ST STE 511, FAIRFAX, VA 22030-7173
(703) 390-1182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891340188
NPI1
VA
Enumeration date
07/06/2020
Last updated
07/06/2020
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