SearchVirginia101YP2500X

Jack Childers, LPC

NPI 1750467395 · on the registry since 2006 · sole proprietor

Practice

Address
7 Loudoun St Sw
Leesburg, VA 20175
Phone
(703) 771-4041
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-19

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