Individual provider · Type 1 NPI

Theresa Jacob, LPC

Professional Counselor · Herndon, VA

NPI number 1215097944 Active

About NPI 1215097944

Theresa Jacob, LPC's National Provider Identifier is 1215097944, issued on Dec 11, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Herndon, VA. The record was last updated on Jul 8, 2007.