Individual
JANE DELIA ENGELKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LSATP
Contact information
Practice address
10513 JUDICIAL DR STE 201, FAIRFAX, VA 22030-7528
(703) 405-9014
Mailing address
10513 JUDICIAL DR STE 201, FAIRFAX, VA 22030-7528
(703) 405-9014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0718000100
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701002611
VA
Other
Enumeration date
09/14/2012
Last updated
02/02/2021
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