Search › Virginia › 103TC0700X
Jacob Deboer, PHD, NCSP, LCP
NPI 1881278521 · on the registry since 2021
Practice
- Address
- 13900 Hull Street Rd
Midlothian, VA 23112 - Phone
- (804) 639-8900
- Clinicians at this address
- 176
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TS0200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-03
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