JESSIE LICON

LOS ANGELES, CA
NPI1578283404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  116305)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-08-31
Last Update Date2024-02-07
Business Address
JESSIE LICON ASW
2121 W TEMPLE ST
LOS ANGELES, CA 90026-4915
Phone number: 323-722-6205
Mailing Address
JESSIE LICON ASW
2121 W TEMPLE ST
LOS ANGELES, CA 90026-4915
Phone number: 213-385-5100