Individual
JACKIE J ENGELHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT-A, LPC-I
Contact information
Practice address
187 ELMHURST, SUITE A, KYLE, TX 78640-6115
(512) 318-2661
Mailing address
738 PINEHURST DR, NEW BRAUNFELS, TX 78130-2449
(936) 442-0680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
66132
TX
106H00000X
Marriage & Family Therapist
Primary
201340
TX
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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