Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabriella T Jack, NCC, LPC

Individual provider Mental Health Counselor · NPI 1174116248

Gabriella T Jack, NCC, LPC is a Mental Health Counselor in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9301 Santayana Dr
Fairfax, VA 22031-3069
Phone: (571) 502-8362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701010212 (VA)

Record details

NPI number1174116248
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCC , LPC
Sole proprietorYes
NPI enumeratedFebruary 18, 2021
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 16, 2021

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