Theresa Jacob, LPC

NPI 1215097944 · on the registry since 2006 · sole proprietor

Practice

Address: 297 Herndon Pkwy
Ste. 202
Herndon, VA 20170
Phone: (703) 481-6130
Organisation at this address: Northern Virginia Psychotherapy Assoc., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia