Individual
JENNIFER MINCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
3833 S TEXAS AVE STE 285, BRYAN, TX 77802-4042
(979) 216-5956
Mailing address
PO BOX 9189, COLLEGE STATION, TX 77842-9189
(979) 216-5956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
87078
TX
106H00000X
Marriage & Family Therapist
Primary
203735
TX
Other
Enumeration date
06/05/2024
Last updated
06/12/2024
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