Ingersoll, Jill Marie
Ingersoll, Jill Marie is an sole proprietor health care provider with primary practice located at 1010 Blue Water Dr , Canyon Lake TX 78133-5584. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ingersoll, Jill Marie can be contacted via phone (180) 848-9543.Contact Information
Primary practice address
1010 Blue Water Dr
Canyon Lake TX 78133-5584
Phone: (180) 848-9543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 67137 | Texas |
Profile Details
| NPI number | 1912760901 |
|---|---|
| LBN Legal business name | Ingersoll, Jill Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2024 |
| Last updated | Feb 1st, 2024 - about 9 months 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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