ENRIQUE LICONA

YAKIMA, WA
NPI1215729082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61681564)
Enumeration Date2025-05-19
Last Update Date2025-05-19
Business Address
ENRIQUE LICONA MSW, SUDPT
120 S 3RD ST
YAKIMA, WA 98901-2875
Phone number: 509-865-6705
Mailing Address
ENRIQUE LICONA MSW, SUDPT
90 ORCHARDVALE RD
ZILLAH, WA 98953-9021
Phone number: 509-790-8016
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