Individual provider · Type 1 NPI
David Alan Jacobs, LPC
Addiction (Substance Use Disorder) Counselor · Fairfax, VA
NPI number
1609898154
Active
Practice location
3900 Jermantown Rd Ste 200
Fairfax, VA 22030-4900
Mailing address
Ads 3900JERMANTOWN Rd., Suite 200
Fairfax, VA 22030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0701001017 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1609898154
David Alan Jacobs, LPC's National Provider Identifier is 1609898154, issued on Jul 24, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.