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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOANNA O LICON

Active

JOANNA O LICON is a Peer Specialist healthcare provider located in KENNEWICK, Washington. NPI 1184192403 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · KENNEWICK, WA

Registration Details

NPI Number
1184192403
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2018 (7.5869933713776 yrs)
Last Updated
Nov 5, 2018

Practice Information

Address
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA, 993362968
Browse WA providers · Browse ZIP 99336
Phone
5097356446
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in KENNEWICK, WA

Name Credential NPI
FELIPA G BARRON CPC 1316414238
RHONDA BATCHELOR 1518434307
MORGAN MOHS 1073080867
MARCEL ANTON ETTESVOLD 1669949368
BRANDY LYNN HENDRICKSON 1760959332
DERRICK WILLIAM KENNETH RUTAN 1841768959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.