Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003006859 |
---|---|
Provider Name | Mrs. Julie Engel |
First Address | Jasper, OR 97438-9751 |
Second Address | Jasper, OR 97438-9751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 27/07/2007 |