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ELISE LICON
NPI 1225855281
Marriage & Family Therapist in Orange, CA

Active since September 23, 2024
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868(657) 339-2799 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elise Licon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE LICON (NPI 1225855281) is an individual marriage & family therapist in Orange, California, licensed in California (148419) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1225855281
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELISE LICON
Location Address1100 W TOWN AND COUNTRY RD STE 1250Orange, CA 92868-4633
Mailing AddressPo Box 236Los Alamitos, CA 90720-0236 · (714) 726-0450
Phone(657) 339-2799
Sole ProprietorNo
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1225855281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 148419
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.
1100 W TOWN AND COUNTRY RD STE 1250, Orange, CA 92868
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL KWON
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (844) 669-7827
BERENICE PLASCENCIA
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
BRENDA KIM TRAN
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
KELLIE A RIEGER NONE
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
ELIZABETH VERONICA ALTAMIRANO
Marriage & Family Therapist
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (657) 339-2799
MERA HABIB
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
MIA SCHERRER
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
FRAXINE DILLAGUE
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Licon's NPI number?

The NPI number for Elise Licon is 1225855281. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Elise Licon located?

Elise Licon practices at 1100 W Town And Country Rd Ste 1250, Orange, CA 92868. The listed phone number is (657) 339-2799.

What is Elise Licon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Elise Licon was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.