SearchTexas1041C0700X

Jill Ingersoll, LCSW

NPI 1912760901 · on the registry since 2024 · sole proprietor

Practice

Address
1010 Blue Water Dr
Canyon Lake, TX 78133
Phone
(180) 848-9543
Organisation at this address
Blue Water Therapists, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas