person
Jack C Childers III, LPC
Professional Counselor in Leesburg, Virginia
NPI 1750467395

Jack C Childers III is a Professional Counselor based in Leesburg, VA and is specialized in Professional. Jack C Childers III practices in Leesburg, VA and has the professional credentials of LPC. The NPI Number for Jack C Childers III is 1750467395 and holds a License No. 0701003420 (Virginia).

The current practice location address for Jack C Childers III is 7 Loudoun St Sw, Leesburg, VA and can be reached out via phone at 703-771-4041.

Location: 7 Loudoun St Sw, Leesburg, VA, 20175-2933
person
Provider Profile Details
NPI Number
1750467395
Provider Name
Jack C Childers III
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
7 Loudoun St Sw, Leesburg, VA, 20175-2933
Phone Number
703-771-4041
Fax Number
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7 Loudoun St Sw
City
State
Zip
20175-2933
Phone Number
703-771-4041
Fax Number
person
Provider Business Mailing Address Details
Address
7 Loudoun St Sw
City
State
Zip
20175-2933
Phone Number
703-771-4041
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003420 (Virginia)
Definition
Definition to come...
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