| Catherine Marie Jacobsen, Lmhc, Pllc | |
|
1 Spring Square Business Park Unit 2 Newburgh NY 12550-2566 | |
| (845) 248-3722 | |
| Not Available |
| Full Name | Catherine Marie Jacobsen, Lmhc, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Spring Square Business Park Unit 2, Newburgh, New York |
| Authorized Official Name and Position | Catherine Marie Jacobsen (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8452483722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Marie Jacobsen, Lmhc, Pllc 110 Sandpiper Ln New Windsor NY 12553-5464 Ph: (845) 248-3722 | Catherine Marie Jacobsen, Lmhc, Pllc 1 Spring Square Business Park Unit 2 Newburgh NY 12550-2566 Ph: (845) 248-3722 |
| NPI Number | 1811504665 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811504665 | NPI | - | NPPES |
| 009263-01 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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