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General NPI Number Information
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NPI Number | 1962354555
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Entity Type | Organization
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Legal Business Name | LISA JORGENSEN PROFESSIONAL CLINICAL COUNSELOR PROF CORP
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 27281 LAS RAMBLAS STE 208
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8303
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Country | US
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Telephone | 657-210-2331
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Fax |
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Provider Business Mailing Address
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Address Line | 24001 CALLE DE LA MAGDALENA UNIT 3253
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City | LAGUNA HILLS
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State | CA
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Zip | 92654-1250
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Country | US
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Telephone | 657-210-2331
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | LISA JORGENSEN
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Credential | MS, LMFT, LPCC
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Telephone | 657-210-2331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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