Individual provider · Type 1 NPI

Enrique Licona, MSW, SUDPT

Addiction (Substance Use Disorder) Counselor · Yakima, WA

NPI number 1215729082 Active

Practice location

120 S 3rd St
Yakima, WA 98901-2875

Call (509) 865-6705 Map

Mailing address

90 Orchardvale Rd
Zillah, WA 98953-9021

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X61681564 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215729082

Enrique Licona, MSW, SUDPT's National Provider Identifier is 1215729082, issued on May 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yakima, WA. The record was last updated on May 19, 2025.