Individual provider · Type 1 NPI

Jenna Gazzillo, MHC

Mental Health Counselor · Latham, NY

NPI number 1417521980 Active

Practice location

6 Wellness Way Ste 112
Latham, NY 12110-2156

Fax (518) 213-6985

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417521980

Jenna Gazzillo, MHC's National Provider Identifier is 1417521980, issued on May 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Latham, NY. The record was last updated on Feb 26, 2024.