Individual
JANE ENGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
841 STUBENVILLE AVE, CAMBRIDGE, OH 43725
(855) 692-7247
Mailing address
841 STUBENVILLE AVE, CAMBRIDGE, OH 43725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.011292
OH
101YM0800X
Mental Health Counselor
Primary
E.0004043-SUPV
OH
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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