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NPI Code Detail

MEDICARE: MYCHAEL JAUREGUI LMFT, LPCC

MEDICARE: MYCHAEL JAUREGUI LMFT, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist150398CA

General Provider Information

NPI Number : 1295210672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYCHAEL JAUREGUI LMFT, LPCC
Provider Business Mailing Address
First Line : PO BOX 10781
Second Line :
City : SANTA ANA
State : CA
Zip : 92711-0781
Country : US
Telephone Number : 510-335-0849
Fax Number :
Provider Business Practice Location Address
First Line : 39159 PASEO PADRE PKWY STE 121
Second Line :
City : FREMONT
State : CA
Zip : 94538-1600
Country : US
Telephone Number : 510-952-1190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2018
Last Update Date : 12/23/2024

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Directions to “ MYCHAEL JAUREGUI LMFT, LPCC” Practice Location

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