person
Mckenzie Marianne Tavella, LPC-A
Professional Counselor in Fairfield, Connecticut
NPI 1124774096

Mckenzie Marianne Tavella is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Mckenzie Marianne Tavella practices in Fairfield, CT and has the professional credentials of LPC-A. The NPI Number for Mckenzie Marianne Tavella is 1124774096 and holds a License No. 46.004521 (Connecticut).

The current practice location address for Mckenzie Marianne Tavella is 125 Penfield Rd, Fairfield, CT and can be reached out via phone at 203-255-5777.

Location: 125 Penfield Rd, Fairfield, CT, 06605-1700
person
Provider Profile Details
NPI Number
1124774096
Provider Name
Mckenzie Marianne Tavella
Credential
LPC-A
Provider Entity Type
Individual
Gender
Female
Address
125 Penfield Rd, Fairfield, CT, 06605-1700
Phone Number
203-255-5777
Fax Number
Provider Enumeration Date
03/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Penfield Rd
City
State
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
person
Provider Business Mailing Address Details
Address
125 Penfield Rd
City
State
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
46.004521 (Connecticut)
Definition
Definition to come...
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