Individual
MR. BRIAN DANIEL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1655 FORT MYER DR STE 820, ARLINGTON, VA 22209-3106
(908) 304-3718
Mailing address
3346 S WAKEFIELD ST APT B1, ARLINGTON, VA 22206-1726
(908) 304-3718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008495
VA
Other
Enumeration date
07/22/2019
Last updated
09/08/2019
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