Individual
MRS. CARMEN J RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
15915 CANADA GOOSE LOOP, WOODBRIDGE, VA 22191-5562
(571) 989-2927
Mailing address
15915 CANADA GOOSE LOOP, WOODBRIDGE, VA 22191-5562
(571) 989-2927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006505
VA
101YM0800X
Mental Health Counselor
PRC14584
DC
Other
Enumeration date
07/16/2007
Last updated
03/18/2016
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