person
Ms. Theresa Jacob, LPC
Professional Counselor in Herndon, Virginia
NPI 1215097944

Theresa Jacob is a Professional Counselor based in Herndon, VA and is specialized in Professional. Theresa Jacob practices in Herndon, VA and has the professional credentials of LPC. The NPI Number for Theresa Jacob is 1215097944 and holds a License No. 0701002593 (Virginia).

The current practice location address for Theresa Jacob is 297 Herndon Pkwy, Herndon, VA and can be reached out via phone at 703-481-6130.

Location: 297 Herndon Pkwy, Herndon, VA, 20170-4474
person
Provider Profile Details
NPI Number
1215097944
Provider Name
Theresa Jacob
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
297 Herndon Pkwy, Herndon, VA, 20170-4474
Phone Number
703-481-6130
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
297 Herndon Pkwy
City
State
Zip
20170-4474
Phone Number
703-481-6130
Fax Number
person
Provider Business Mailing Address Details
Address
297 Herndon Pkwy
City
State
Zip
20170-4474
Phone Number
703-481-6130
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002593 (Virginia)
Definition
Definition to come...
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