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General NPI Number Information
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NPI Number | 1578039202
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Entity Type | Individual
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Provider Name | ELISSA BETH HURAND LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2018
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Last Update Date | 10/20/2018
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Provider Practice Location Address
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Address Line | 429 SANTA MONICA BLVD STE 200
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City | SANTA MONICA
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State | CA
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Zip | 90401-3408
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Country | US
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Telephone | 619-993-8465
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Fax |
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Provider Business Mailing Address
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Address Line | 21046 WAVEVIEW DR
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City | TOPANGA
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State | CA
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Zip | 90290-3553
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Country | US
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Telephone | 619-993-8465
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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 | 2872
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License Number State | CA
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