Licon, Valjean Eugene

Licon, Valjean Eugene is an sole proprietor health care provider with primary practice located at 1005 Forest St , Reno NV 89509-2706. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Licon, Valjean Eugene can be contacted via phone (775) 329-4582.

Contact Information

Primary practice address
1005 Forest St Reno NV 89509-2706
Phone: (775) 329-4582
Fax: (775) 329-9943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CP0124 Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 01375 Nevada

Profile Details

NPI number 1144513284
LBN Legal business name Licon, Valjean Eugene
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2011
Last updated Sep 18th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144513284 NPPES
Nevada MEDICAID 114513284

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