Individual provider · Type 1 NPI
Jennifer Rebecca Tardelli, LPC, LMHC
Professional Counselor · Atlanta, GA
NPI number
1912201849
Active
Practice location
1164 N Highland Ave NE
Atlanta, GA 30306-3448
Mailing address
1074 Rosewood Dr NE
Atlanta, GA 30306-3553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 00008617 (WA) |
| Professional Counselor Primary | 101YP2500X | LPC004551 (GA) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1912201849
Jennifer Rebecca Tardelli, LPC, LMHC's National Provider Identifier is 1912201849, issued on Jan 7, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Jan 7, 2011.