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General NPI Number Information
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NPI Number | 1639600851
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Entity Type | Individual
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Provider Name | JEFFREY ALAN KUKRAL LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 8035 MADISON AVE STE A4
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7949
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Country | US
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Telephone | 916-524-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 901 H ST STE 120
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City | SACRAMENTO
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State | CA
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Zip | 95814-1817
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Country | US
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Telephone | 916-524-6064
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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