| Doctor Name: | JACKIE J ENGELHARDT |
| NPI Number: | 1164746491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LMFT-A, LPC-I |
| License Number: | 66132 |
| Business Practice Address: | 187 Elmhurst Suite A Kyle, TX - 786406115 |
| Business Phone Number: | 5123182661 |
| Business Fax Number: | |
| Mailing Address: | 738 Pinehurst Dr, NEW BRAUNFELS |
| State: | TX |
| Postal Code: | 781302449 |
| Phone Number: | 9364420680 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 66132 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |