MEDICARE: ALYSON JUERS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	115545	CA

General Provider Information

NPI Number	:	1396438115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON JUERS LCSW

Provider Business Mailing Address
First Line	:	1450 SPRINGFIELD DR APT 201
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7305
Country	:	US
Telephone Number	:	530-315-7434
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 SPRINGFIELD DR APT 201
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7305
Country	:	US
Telephone Number	:	530-315-7434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	06/02/2023

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