LPC-A Mckenzie Marianne Tavella, NPI 1124774096
Professional Counselor in Fairfield, CT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1124774096 |
| NPI Entity Type | Individual |
| Provider Name | LPC-A Mckenzie Marianne Tavella |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 125 Penfield Rd, Fairfield, CT, US |
| Provider Mailing Address | 475 Clinton Ave, Bridgeport, CT, US, 066051700 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Professional Counselor |
| Classification | |
| Group | |
| License No. | 46.004521 |
| License State | CT |
| Description | Definition to come... |
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