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General NPI Number Information
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NPI Number | 1255032603
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Entity Type | Individual
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Provider Name | TROI JEFFERSON
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD STE 605
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City | ENCINO
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State | CA
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Zip | 91436-2609
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Country | US
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Telephone | 818-233-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 322 CULVER BLVD UNIT V172
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7704
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Country | US
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Telephone |
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12644
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 137030
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License Number State | CA
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