Individual
MR. JASON D O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
3522 WEBSTER RD, BLUE RIDGE, VA 24064
(540) 977-6300
(540) 977-9523
Mailing address
3522 WEBSTER RD, BLUE RIDGE, VA 24064
(540) 977-6300
(540) 977-9523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002529
VA
106H00000X
Marriage & Family Therapist
0717000613
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005415756
—
VA
Enumeration date
01/04/2006
Last updated
09/30/2024
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