Jacob, Theresa
Jacob, Theresa is an sole proprietor health care provider with primary practice located at 297 Herndon Pkwy Ste. 202, Herndon VA 20170-4474. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jacob, Theresa can be contacted via phone (703) 481-6130.Contact Information
Primary practice address
297 Herndon Pkwy Ste. 202
Herndon VA 20170-4474
Phone: (703) 481-6130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002593 | Virginia |
Profile Details
| NPI number | 1215097944 |
|---|---|
| LBN Legal business name | Jacob, Theresa |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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