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1609898154
DAVID ALAN JACOBS
FAIRFAX, VA
NPI
1609898154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0701001017)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- DAVID ALAN JACOBS LPC
3900 JERMANTOWN RD STE 200
FAIRFAX, VA 22030-4900
Phone number: 703-934-5475
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Mailing Address
-- DAVID ALAN JACOBS LPC
ADS 3900JERMANTOWN RD. SUITE 200
FAIRFAX, VA 22030
Phone number: 703-934-5475
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