Provider Demographics
NPI:1144372251
Name:THOMAS, JON L (LPC)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8925 LITTLE RIVER TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3113
Mailing Address - Country:US
Mailing Address - Phone:703-849-8414
Mailing Address - Fax:703-359-8330
Practice Address - Street 1:9451 SILVER KING CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4713
Practice Address - Country:US
Practice Address - Phone:703-849-8414
Practice Address - Fax:703-359-8330
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701001559101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional