JACK C CHILDERS III LPC
NPI 1750467395
Counselor - Professional in Leesburg, VA
Active since October 27, 2006
About Jack C Childers Iii Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK C CHILDERS III LPC (NPI 1750467395) is an individual professional provider in Leesburg, Virginia, licensed in Virginia (0701003420) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1750467395
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACK C CHILDERS IIICredential: LPC
Location Address7 LOUDOUN ST SWLeesburg, VA 20175-2933
Mailing Address7 Loudoun St SwLeesburg, VA 20175-2933 · (703) 771-4041
Phone(703) 771-4041
Sole ProprietorYes
Enumeration DateOctober 27, 2006
Last NPPES UpdateFebruary 19, 2010
✔ NPI 1750467395 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701003420
7 LOUDOUN ST SW, Leesburg, VA 20175
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750467395, enumerated as an "individual" on October 27, 2006.
The provider is located at 7 LOUDOUN ST SW LEESBURG, VA 20175 and the phone number is (703) 771-4041.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.
