Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack C Childers III, LPC

Individual provider Professional Counselor · NPI 1750467395

Jack C Childers III, LPC is a Professional Counselor in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7 Loudoun St SW
Leesburg, VA 20175-2933
Phone: (703) 771-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701003420 (VA)

Record details

NPI number1750467395
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESFebruary 19, 2010

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