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General NPI Number Information
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NPI Number | 1124670286
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Entity Type | Individual
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Provider Name | LORENA JUAREZ MA
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Gender | Female
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 285 W COURT ST STE 207
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City | WOODLAND
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State | CA
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Zip | 95695-2977
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Country | US
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Telephone | 916-243-9138
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Fax |
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Provider Business Mailing Address
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Address Line | 551 EASTBROOK CIR
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City | SACRAMENTO
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State | CA
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Zip | 95835-1348
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Country | US
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Telephone | 916-243-9138
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Fax | 916-243-9138
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 158516
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License Number State | CA
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