Provider Demographics
NPI:1174973341
Name:JACOBS-CULP, RITAJEANNE (MS, LPC)
Entity type:Individual
Prefix:MISS
First Name:RITAJEANNE
Middle Name:
Last Name:JACOBS-CULP
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 TRENT RD
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1824
Mailing Address - Country:US
Mailing Address - Phone:856-904-3726
Mailing Address - Fax:
Practice Address - Street 1:112 TRENT RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1824
Practice Address - Country:US
Practice Address - Phone:856-904-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00513400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional