Engebretson, Jackie

Engebretson, Jackie is an sole proprietor health care provider with primary practice located at 7920 Old Cedar Ave S , Bloomington MN 55425-1207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Engebretson, Jackie can be contacted via phone (952) 428-1800.

Contact Information

Primary practice address
7920 Old Cedar Ave S Bloomington MN 55425-1207
Phone: (952) 428-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP5917 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5917 Minnesota

Profile Details

NPI number 1134598667
LBN Legal business name Engebretson, Jackie
Credentials PHD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2015
Last updated Aug 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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