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General NPI Number Information
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NPI Number | 1548925522
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Entity Type | Individual
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Provider Name | ALYSSA JEAN JURADO LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 16250 VENTURA BLVD STE 465
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City | ENCINO
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State | CA
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Zip | 91436-4620
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Country | US
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Telephone | 831-278-0188
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Fax |
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Provider Business Mailing Address
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Address Line | 4050 BARRANCA PKWY STE 200
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City | IRVINE
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State | CA
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Zip | 92604-1723
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Country | US
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Telephone | 949-551-1090
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Fax | 949-262-5500
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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 | 109590
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 109590
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License Number State | CA
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