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Individual

JACOB LIPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC, CSOTP

Contact information

Practice address
10391 GREYSON LN, RIXEYVILLE, VA 22737-1730
(540) 937-4923
(540) 937-7680
Mailing address
520 12TH ST S APT 917, ARLINGTON, VA 22202-4249
(973) 907-3253

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010401
VA

Other

Enumeration date
08/12/2021
Last updated
08/12/2021
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