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1215097944
THERESA JACOB
HERNDON, VA
NPI
1215097944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701002593)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Ms. THERESA JACOB LPC
297 HERNDON PKWY STE. 202
HERNDON, VA 20170-4474
Phone number: 703-481-6130
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Mailing Address
Ms. THERESA JACOB LPC
297 HERNDON PKWY STE. 202
HERNDON, VA 20170-4474
Phone number: 703-481-6130
Copy
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