Provider Demographics
NPI:1851636880
Name:JAEGER, CATHERINE DINGLASAN (LMFT (LICENSED MARRI)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:DINGLASAN
Last Name:JAEGER
Suffix:
Gender:F
Credentials:LMFT (LICENSED MARRI
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ZOLETA
Other - Last Name:DINGLASAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2058 N. MILLS AVE. #638
Mailing Address - Street 2:
Mailing Address - City:CLAREMOT
Mailing Address - State:CA
Mailing Address - Zip Code:91711
Mailing Address - Country:US
Mailing Address - Phone:310-715-2020
Mailing Address - Fax:
Practice Address - Street 1:954 W. FOOTHILL BLVD. STE A
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-946-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90936106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist