MS. Theresa Jacob, LPC

NPI #1215097944 in Herndon, Virginia

Provider Information

NPI Number
1215097944
Entity Type
Individual
Name
MS. Theresa Jacob, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Dec 11, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
297 HERNDON PKWY
Address 2
STE. 202
ZIP Code
20170-4474
Phone
(703) 481-6130

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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