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1689578890 NPI number — JEFFREY DANIEL ANDRADE LMFT164067

NPI Number: 1689578890
Health Care Provider/Practitioner: JEFFREY DANIEL ANDRADE LMFT164067

Information about “1689578890” NPI (JEFFREY DANIEL ANDRADE LMFT164067) exists in 1689578890 in HTML format HTML  |  1689578890 in plain Text format TXT  |  1689578890 in PDF (Portable Document Format) PDF  |  1689578890 in an XML format XML  formats.

NPI Number : 1689578890 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689578890",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDRADE",
    "FirstName": "JEFFREY",
    "MiddleName": "DANIEL",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LMFT164067",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2802",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MISSION VIEJO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92690-0802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-436-4495",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "27201 PUERTA REAL STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MISSION VIEJO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92691-8590",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-291-0038",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2026",
    "LastUpdateDate": "10/03/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "LMFT164067",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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