JOSHUA JORDAN LICITRA

MISSION VIEJO, CA
NPI1316789803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist Counseling
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
JOSHUA JORDAN LICITRA
25845 NIMES CT
MISSION VIEJO, CA 92692-5273
Phone number: 949-873-3002
Mailing Address
JOSHUA JORDAN LICITRA
25845 NIMES CT
MISSION VIEJO, CA 92692-5273
Phone number: 949-873-3002
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