Provider Demographics
NPI:1932313459
Name:ENGELBERT, JEANIE (LMFT, THD)
Entity Type:Individual
Prefix:DR
First Name:JEANIE
Middle Name:
Last Name:ENGELBERT
Suffix:
Gender:F
Credentials:LMFT, THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 DUNBARTON DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1117
Mailing Address - Country:US
Mailing Address - Phone:303-995-3302
Mailing Address - Fax:
Practice Address - Street 1:8000 E PRENTICE AVE
Practice Address - Street 2:B-11
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2744
Practice Address - Country:US
Practice Address - Phone:303-995-3302
Practice Address - Fax:303-756-5628
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO608106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist