Larios, Nesell Licon

Larios, Nesell Licon is an individual health care provider with primary practice located at 1515 S Bon View Ave , Ontario CA 91761-4408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Larios, Nesell Licon can be contacted via phone (909) 930-6793.

Contact Information

Primary practice address
1515 S Bon View Ave Ontario CA 91761-4408
Phone: (909) 930-6793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW 13832 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 23974 California

Profile Details

NPI number 1255464723
LBN Legal business name Larios, Nesell Licon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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