person
Gabriella T Jack, NCC,LPC
Mental Health Counselor in Fairfax, Virginia
NPI 1174116248

Gabriella T Jack is a Mental Health Counselor based in Fairfax, VA and is specialized in Mental Health. Gabriella T Jack practices in Fairfax, VA and has the professional credentials of NCC,LPC. The NPI Number for Gabriella T Jack is 1174116248 and holds a License No. 0701010212 (Virginia).

The current practice location address for Gabriella T Jack is 9301 Santayana Dr, Fairfax, VA and can be reached out via phone at 571-502-8362.

Location: 9301 Santayana Dr, Fairfax, VA, 22031-3069
person
Provider Profile Details
NPI Number
1174116248
Provider Name
Gabriella T Jack
Credential
NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
9301 Santayana Dr, Fairfax, VA, 22031-3069
Phone Number
571-502-8362
Fax Number
Provider Enumeration Date
02/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9301 Santayana Dr
City
State
Zip
22031-3069
Phone Number
571-502-8362
Fax Number
person
Provider Business Mailing Address Details
Address
9301 Santayana Dr
City
State
Zip
22031-3069
Phone Number
571-502-8362
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701010212 (Virginia)
Definition
Definition to come...
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