Search › Virginia › 101YM0800X
Gabriella Jack, NCC, LPC
NPI 1174116248 · on the registry since 2021 · sole proprietor
Practice
- Address
- 9301 Santayana Dr
Fairfax, VA 22031 - Phone
- (571) 502-8362
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia