Provider Demographics
NPI:1194291666
Name:ENGLER, JASON
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:ENGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6908 MARY CAROLINE CIR UNIT D
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-4905
Mailing Address - Country:US
Mailing Address - Phone:419-346-0382
Mailing Address - Fax:
Practice Address - Street 1:700 W BRADDOCK RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-3601
Practice Address - Country:US
Practice Address - Phone:888-283-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor