Individual
CAROL JARBOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MA
Contact information
Practice address
9675 MAIN ST STE B, FAIRFAX, VA 22031-3762
(703) 989-4404
Mailing address
10707 SIMPSON MEWS LN, FAIRFAX, VA 22030-8136
(703) 989-4404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701007616
VA
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007616
STATE LICENSE
VA
Enumeration date
06/30/2018
Last updated
06/30/2018
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