ELISE LICON

ORANGE, CA
NPI1225855281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  148419)
Enumeration Date2024-09-23
Last Update Date2024-09-23
Business Address
ELISE LICON
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868-4633
Phone number: 657-339-2799
Mailing Address
ELISE LICON
PO BOX 236
LOS ALAMITOS, CA 90720-0236
Phone number: 714-726-0450
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