Individual
TAZJOUNA PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
427 NEW KARNER RD, ALBANY, NY 12205-3852
(518) 456-1969
Mailing address
427 NEW KARNER RD, ALBANY, NY 12205-3852
(518) 456-1969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P142426-01
NY
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/09/2026
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