Individual
JUSTIN RIDGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10560 MAIN ST, FAIRFAX, VA 22030-7182
(571) 264-8192
Mailing address
11197 RIENZI PL APT 102, MANASSAS, VA 20109-2751
(336) 858-9389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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