Individual
DAVID ALAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3900 JERMANTOWN RD STE 200, FAIRFAX, VA 22030-4900
(703) 934-5475
Mailing address
ADS 3900JERMANTOWN RD., SUITE 200, FAIRFAX, VA 22030
(703) 934-5475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0701001017
VA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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