Jill Marie Ingersoll, LCSW
NPI #1912760901 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1912760901
- Entity Type
- Individual
- Name
- Jill Marie Ingersoll, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 1, 2024
- Last Updated
- Feb 1, 2024
Practice Location
- Address
- 1010 BLUE WATER DR
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-5584
- Phone
- (180) 848-9543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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