| Doctor Name: | CATHERINE ALICE JACOBSEN |
| NPI Number: | 1104085224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 44SC00096300 |
| Business Practice Address: | 1200 S Church St Suite 14 Mount Laurel, NJ - 080542936 |
| Business Phone Number: | 6093044949 |
| Business Fax Number: | |
| Mailing Address: | 74 Farnwood Rd, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080542921 |
| Phone Number: | 8568021968 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00096300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |