Organization
JACKIE ENGELHARDT COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE ENGELHARDT MS, LMFT, LPC (OWNER)
(830) 822-2333
Entity
Organization
Contact information
Practice address
468 S SEGUIN AVE, SUITE 200, NEW BRAUNFELS, TX 78130-7664
(830) 822-2333
Mailing address
PO BOX 311918, NEW BRAUNFELS, TX 78131-1918
(830) 822-2333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
66132
TX
106H00000X
Marriage & Family Therapist
Primary
201340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218069701
—
TX
Enumeration date
07/24/2012
Last updated
07/24/2012
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