Individual provider · Type 1 NPI

McKenzie Marianne Tavella, LPC-A

Professional Counselor · Fairfield, CT

NPI number 1124774096 Active

Practice location

45 Sherman St
Fairfield, CT 06824-5874

Call (203) 984-4838 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5452 (CT)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1124774096

McKenzie Marianne Tavella, LPC-A's National Provider Identifier is 1124774096, issued on Mar 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, CT. The record was last updated on May 1, 2026.