Jacobson, Jacqueline A

Jacobson, Jacqueline A is an individual health care provider with primary practice located at 3700 Joseph Siewick Dr Ste 408A , Fairfax VA 22033-1745. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jacobson, Jacqueline A can be contacted via phone (703) 620-3211.

Contact Information

Primary practice address
3700 Joseph Siewick Dr Ste 408A Fairfax VA 22033-1745
Phone: (703) 620-3211
Fax: (703) 620-3215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701002868 Virginia

Profile Details

NPI number 1487648085
LBN Legal business name Jacobson, Jacqueline A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 11th, 2020 - about 4 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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