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HAZEL C LICUDAN
NPI 1669605564
Counselor - Mental Health in San Diego, CA

Active since August 26, 2009
892 27TH ST, SAN DIEGO, CA 92154(619) 549-2412 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hazel C Licudan NPPES

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

HAZEL C LICUDAN (NPI 1669605564) is an individual mental health provider in San Diego, California and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1669605564
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHAZEL C LICUDAN
Location Address892 27TH STSan Diego, CA 92154-1444
Mailing Address5345 Toscana Way Apt 519San Diego, CA 92122-5315 · (619) 549-2412
Phone(619) 549-2412
Sole ProprietorNo
Enumeration DateAugust 26, 2009
✔ NPI 1669605564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
892 27TH ST, San Diego, CA 92154
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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.

MS. NAKIA DANA SQUIREWELL
Counselor (Mental Health)
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687
MAIA HAYDEE TELLEZ-CATSRO
Peer Specialist
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4657
ANASTASIA GORSKI
Student in an Organized Health Care Education/Training Program
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687
TIFFANI HUYNH RN
Registered Nurse
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687
INES VIVIANA GIRALDO
Student in an Organized Health Care Education/Training Program
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687
JEFFREY CAMPBELL
Student in an Organized Health Care Education/Training Program
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687
CLAUDIA LEMME
Counselor (Mental Health)
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687
SUSIE HENDERSON
Student in an Organized Health Care Education/Training Program
892 27TH ST
SAN DIEGO, CA 92154
San Diego County (619) 575-4687

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 Hazel Licudan's NPI number?

The NPI number for Hazel Licudan is 1669605564. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Hazel Licudan located?

Hazel Licudan practices at 892 27th St, San Diego, CA 92154. The listed phone number is (619) 549-2412.

What is Hazel Licudan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Hazel Licudan was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.