Provider Demographics
NPI:1881309219
Name:JAHN, THERESA P (LMFT)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:P
Last Name:JAHN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLOW TURN # A
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3140
Mailing Address - Country:US
Mailing Address - Phone:908-477-7242
Mailing Address - Fax:
Practice Address - Street 1:237 WILLOW TURN # A
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3140
Practice Address - Country:US
Practice Address - Phone:908-477-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00215300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist