=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982591772
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JENNIFER ENGEL LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2025
-----------------------------------------------------
Last Update Date | 06/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 125 S SIBLEY AVE STE 5
-----------------------------------------------------
City | LITCHFIELD
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55355-2831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-434-3426
-----------------------------------------------------
Fax | 320-300-3727
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 125 S SIBLEY AVE STE 5
-----------------------------------------------------
City | LITCHFIELD
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55355-2831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-434-3426
-----------------------------------------------------
Fax | 320-300-3727
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 4389
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------