Individual
JILL ELIZABETH NIEMTSCHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1715 W FM 1626 STE 102, MANCHACA, TX 78652-3549
(512) 280-5315
(512) 280-5316
Mailing address
1715 W FM 1626 STE 102, MANCHACA, TX 78652-3549
(512) 280-5315
(512) 280-5316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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