Individual
MS. JENNIFER REBECCA TARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
1164 N HIGHLAND AVE NE, ATLANTA, GA 30306-3448
(404) 733-0383
Mailing address
1074 ROSEWOOD DR NE, ATLANTA, GA 30306-3553
(404) 733-0383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 00008617
WA
101YP2500X
Professional Counselor
Primary
LPC004551
GA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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