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CHLOE IVANA LICON LMFT
NPI 1417573676
Marriage & Family Therapist in Wildomar, CA

Active since June 23, 2020
36330 HIDDEN SPRINGS RD STE E, WILDOMAR, CA 92595(951) 200-3402 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 27, 2022, Dec 7, 2022, Mar 3, 2021 and 1 more (4 updates tracked since 2020).

About Chloe Ivana Licon Lmft NPPES

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

CHLOE IVANA LICON LMFT (NPI 1417573676) is an individual marriage & family therapist in Wildomar, California and active in the NPI registry since June 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417573676
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHLOE IVANA LICONCredential: LMFT
Location Address36330 HIDDEN SPRINGS RD STE EWildomar, CA 92595-5804
Mailing Address36330 Hidden Springs Rd Ste EWildomar, CA 92595-5804 · (951) 200-3402
Phone(951) 200-3402
Sole ProprietorNo
Enumeration DateJune 23, 2020
Last NPPES UpdateDecember 27, 20224 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1417573676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
36330 HIDDEN SPRINGS RD STE E, Wildomar, CA 92595
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Secondary Practice Locations 2

Location 1New Beginnings Residential Treatment Facilities, 2900 Adams StRiverside, CA 92504 · Phone (951) 956-7197
Location 2555 N Perris Blvd Bldg APerris, CA 92571-2811 · Phone (951) 436-5300

Other Providers at the Same Location NPPES 3

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

DANICE ELMORE
Nurse Practitioner (Psychiatric/Mental Health)
36330 HIDDEN SPRINGS RD STE E
WILDOMAR, CA 92595
Riverside County (442) 224-3320
TAYLORMADE COUNSELING & CONSULTING
Counselor (Mental Health)
36330 HIDDEN SPRINGS RD STE E
WILDOMAR, CA 92595
Riverside County (951) 500-7636
JSP CORPORATION INC
Psychiatry & Neurology (Psychiatry)
36330 HIDDEN SPRINGS RD STE E
WILDOMAR, CA 92595
Riverside County (442) 224-3320

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 Chloe Licon's NPI number?

The NPI number for Chloe Licon is 1417573676. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Chloe Licon located?

Chloe Licon practices at 36330 Hidden Springs Rd Ste E, Wildomar, CA 92595. The listed phone number is (951) 200-3402.

What is Chloe 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 Chloe Licon was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.