Basic Information
| Provider Information | |||||||||
| NPI: | 1851636880 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JAEGER | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | DINGLASAN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMFT (LICENSED MARRI | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | DINGLASAN | ||||||||
| OtherFirstName: | CATHERINE | ||||||||
| OtherMiddleName: | ZOLETA | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2058 N. MILLS AVE. #638 | ||||||||
| Address2: | |||||||||
| City: | CLAREMOT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107152020 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 954 W. FOOTHILL BLVD. STE A | ||||||||
| Address2: | |||||||||
| City: | UPLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099464222 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2012 | ||||||||
| LastUpdateDate: | 01/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 90936 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.