| Doctor Name: | MRS. LILI RACHEL JACOBSON |
| NPI Number: | 1114299351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00407200 |
| Business Practice Address: | 17 Hanover Rd Building 300 Florham Park, NJ - 079321411 |
| Business Phone Number: | 9739853800 |
| Business Fax Number: | |
| Mailing Address: | 206 Clarken Dr, WEST ORANGE |
| State: | NJ |
| Postal Code: | 070523456 |
| Phone Number: | 9739853800 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2012 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00407200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |