GABRIELLA T JACK

FAIRFAX, VA
NPI1174116248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0701010212)
Enumeration Date2021-02-18
Last Update Date2021-02-18
Business Address
GABRIELLA T JACK NCC, LPC
9301 SANTAYANA DR
FAIRFAX, VA 22031-3069
Phone number: 571-502-8362
Mailing Address
GABRIELLA T JACK NCC, LPC
9301 SANTAYANA DR
FAIRFAX, VA 22031-3069
Phone number: 571-502-8362
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