Individual provider · Type 1 NPI

Mackenzie Jardell

Mental Health Counselor · Gainesville, VA

NPI number 1871248955 Active

Practice location

7150 Heritage Village Plz Ste 201
Gainesville, VA 20155-3064

Mailing address

1131 N Utah St
Arlington, VA 22201-5730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704014593 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1871248955

Mackenzie Jardell's National Provider Identifier is 1871248955, issued on Feb 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gainesville, VA. The record was last updated on Feb 16, 2022.