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

Jacob Parks

Individual provider Counselor · NPI 1760751861

Jacob Parks is a Counselor in Reston, Virginia. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
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Practice location Address checks out

11335 Sunset Hills Rd
Reston, VA 20190-5205
Phone: (703) 348-7857
Fax: (703) 444-4308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Nutritionist Taxonomy 133N00000X
Clinical Exercise Physiologist Taxonomy 224Y00000X

Record details

NPI number1760751861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2011
Last updated in NPPESDecember 19, 2011

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