Individual provider · Type 1 NPI
Joseph Licon
Marriage & Family Therapist · Victorville, CA
Practice location
13261 Spring Valley Parkway, Ste 205
Victorville, CA 92395
Mailing address
PO Box 9402
Redlands, CA 92375-2602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 137300 (CA) |
| Mental Health Counselor | 101YM0800X | None listed |
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 1831963685
Joseph Licon's National Provider Identifier is 1831963685, issued on Nov 13, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Victorville, CA. The record was last updated on Nov 13, 2023.