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Organization

CATHERINE MARIE JACOBSEN, LMHC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE MARIE JACOBSEN LMHC (MENTAL HEALTH COUNSELOR)
(845) 248-3722
Entity
Organization

Contact information

Practice address
1 SPRING SQUARE BUSINESS PARK UNIT 2, NEWBURGH, NY 12550-2566
(845) 248-3722
Mailing address
110 SANDPIPER LN, NEW WINDSOR, NY 12553-5464
(845) 248-3722

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009263-01
LICENSE
NY
Enumeration date
09/25/2020
Last updated
10/02/2020
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