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General NPI Number Information
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NPI Number | 1659786234
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Entity Type | Individual
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Provider Name | JESSICA ELEANOR ARNESON LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 07/06/2024
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Provider Practice Location Address
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Address Line | 2100 GENG RD STE 210
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City | PALO ALTO
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State | CA
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Zip | 94303-3307
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Country | US
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Telephone | 833-646-3243
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 5TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-5839
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Country | US
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Telephone | 619-567-1618
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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 | 6028
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License Number State | CA
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