Individual provider · Type 1 NPI
Elise Licon
Marriage & Family Therapist · Orange, CA
Practice location
1100 W Town And Country Rd Ste 1250
Orange, CA 92868-4633
Mailing address
PO Box 236
Los Alamitos, CA 90720-0236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 148419 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1225855281
Elise Licon's National Provider Identifier is 1225855281, issued on Sep 23, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Orange, CA. The record was last updated on Sep 23, 2024.