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Karina Licon
Mental Health Counselor in Ketchikan, Alaska
NPI 1851025456

Karina Licon is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Karina Licon practices in Ketchikan, AK. The NPI Number for Karina Licon is 1851025456 and holds a License No. (Alaska).

The current practice location address for Karina Licon is 2524 First Ave, Ketchikan, AK and can be reached out via phone at 907-202-8752.

Location: 2524 First Ave, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851025456
Provider Name
Karina Licon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2524 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-202-8752
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1703638 05 AK
1713721 05 AK
institution
Provider Business Practice Location Address Details
Address
2524 First Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-202-8752
Fax Number
person
Provider Business Mailing Address Details
Address
2524 First Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-202-8752
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Alaska)
Definition
Definition to come...
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