Individual
MARA ROBYN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
(703) 746-3584
Mailing address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
(703) 746-3584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447279658
—
VA
Enumeration date
07/08/2013
Last updated
06/04/2024
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