Individual provider · Type 1 NPI

Joseph Licon

Marriage & Family Therapist · Victorville, CA

NPI number 1831963685 Active

Practice location

13261 Spring Valley Parkway, Ste 205
Victorville, CA 92395

Mailing address

PO Box 9402
Redlands, CA 92375-2602

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X137300 (CA)
Mental Health Counselor 101YM0800XNone 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.