CHLOE IVANA LICON


Address: New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504
Phone: 9519567197

CHLOE IVANA LICON (NPI# 1417573676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417573676
Entity Type Individual
Full Name CHLOE IVANA LICON
Credential AMFT
Practice Address New Beginnings Residential Treatment Facilities
2900 Adams St
Riverside
CA 92504
Mailing Address Po Box 11251
Palm Desert
CA 92255-1251
Practice Telephone 9519567197
Mailing Telephone 4424004746
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIES
2900 ADAMS ST
City RIVERSIDE
State CA
Zip Code 92504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720628993 Palm Lily LLC Non-emergency Medical Transport (VAN) 2900 Adams Street Suite A435, Riverside, CA 92504 2020-01-15
1538630959 Just for Kids Pediatric Dentistry Raymond Wang Dentist 7071 Indiana Ave, Riverside, CA 92504 2018-12-11
1477047835 Deborah Kay Allen Peer Specialist 6939 Morningside Ave, Riverside, CA 92504 2018-06-19
1255833794 Adiana Loya Student in an Organized Health Care Education/Training Program 7550 Orchard St Apt #58, Riverside, CA 92504 2018-03-01
1023524162 Chiara Heyer Counselor 4130 Adams St Ste B, Riverside, CA 92504 2017-12-27
1801313408 Gustavo Gallo Avelar Behavioral Analyst 4125 Rucker Ln, Riverside, CA 92504 2017-08-24
1891226205 Susana Herold Assistant Behavior Analyst 17460 Krameria Ave, Riverside, CA 92504 2017-03-27
1710356167 Erandi Portugal Counselor 6711 Alrington Avenue, Riverside, CA 92504 2015-09-16
1548636012 Candace Lauren Bynder Counselor 6711 Arlington Avenue, Riverside, CA 92504 2015-08-19
1144610494 Michael Julius Morris I Counselor 5870 Arlington Ave., Riverside, CA 92504 2015-01-26
Find all providers in zip 92504

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029799 Buchanan Family Foundation Marriage & Family Therapist 1410 3rd St Ste 12, Riverside, CA 92507-3422 2020-10-06
1801401211 Sachin Kumar Mathur Marriage & Family Therapist 10934 Elkwood Cir, Riverside, CA 92503-5286 2020-09-11
1144839770 Edgar Diaz Garcia Marriage & Family Therapist 5995 Palm Ave Apt I, Riverside, CA 92506-1912 2020-07-29
1497381743 Melissa Cherie Sanders Marriage & Family Therapist 5225 Canyon Crest Dr Ste 71-107, Riverside, CA 92507-6301 2020-03-19
1992330088 Angie Garita Marriage & Family Therapist 8939 Christopher Pl, Riverside, CA 92503-3303 2020-03-09
1467086082 Melanie Joy Harriss Marriage & Family Therapist 11801 Pierce St # 222, Riverside, CA 92505-4408 2020-02-24
1487296059 Catherine Parra Haynes Marriage & Family Therapist 4344 Latham St, Riverside, CA 92501-0400 2019-10-15
1255973889 Kimberly Ann Lloyd Marriage & Family Therapist 8625 Orchard Park Dr, Riverside, CA 92508-2984 2019-10-15
1255985248 County of Riverside Mental Health Marriage & Family Therapist 3125 Myers St Bldg 2, Riverside, CA 92503-5527 2019-07-29
1346892999 Matthew Ludwig Janse Marriage & Family Therapist 10685 Magnolia Ave, Riverside, CA 92505-1822 2019-07-14
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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