Licitra, Joshua Jordan

Licitra, Joshua Jordan is an individual health care provider with primary practice located at 25845 Nimes Ct , Mission Viejo CA 92692-5273. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Licitra, Joshua Jordan can be contacted via phone (949) 873-3002.

Contact Information

Primary practice address
25845 Nimes Ct Mission Viejo CA 92692-5273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1316789803
LBN Legal business name Licitra, Joshua Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2024
Last updated Jun 6th, 2024 - about 6 months 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.

Request for update

Popular Providers