Provider Demographics
NPI:1831754928
Name:HOWSON-JACOBS, REBECCA CLAY (LPC, CSOTP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:CLAY
Last Name:HOWSON-JACOBS
Suffix:
Gender:F
Credentials:LPC, CSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 WRIGHT CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-2654
Mailing Address - Country:US
Mailing Address - Phone:202-316-0123
Mailing Address - Fax:
Practice Address - Street 1:1801 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5236
Practice Address - Country:US
Practice Address - Phone:202-316-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-05
Last Update Date:2019-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional