MR. VALJEAN EUGENE LICON (NPI# 1144513284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144513284 |
| Entity Type | Individual |
| Full Name | MR. VALJEAN EUGENE LICON |
| Credential | LMFT |
| Practice Address |
1005 Forest St Reno NV 89509-2706 |
| Mailing Address |
200 Gooseberry Dr Reno NV 89523-9612 |
| Practice Telephone | 7753294582 |
| Practice Fax Number | 7753299943 |
| Mailing Telephone | 7752401818 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
CP0124 | NV | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 01375 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 114513284 | 05 |
| Street Address |
1005 FOREST ST |
| City | RENO |
| State | NV |
| Zip Code | 89509-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962549857 | Meri L. Shadley | Marriage & Family Therapist | 1005 Forest St, Reno, NV 89509-2706 | 2007-01-31 |
| 1528316791 | Heidi L Frost | Counselor | 1005 Forest St, Reno, NV 89509-2706 | 2012-08-20 |
| 1295024560 | Jacquelyn Kleinedler | Marriage & Family Therapist | 1005 Forest St, Reno, NV 89509-2706 | 2011-04-07 |
| 1144557489 | Mary Minten | Counselor | 1005 Forest St, Reno, NV 89509-2706 | 2009-11-06 |
| 1225275787 | Allan C Ritchie | Marriage & Family Therapist | 1005 Forest St, Reno, NV 89509-2706 | 2009-01-20 |
| 1023280120 | Jim Kirk, Eds, Mft | Counselor | 1005 Forest St, Reno, NV 89509-2706 | 2008-03-28 |
| 1437355575 | Charles Thomas Holt | Counselor | 1005 Forest St, Reno, NV 89509-2706 | 2007-06-25 |
| 1902011067 | James L Kirk | Counselor | 1005 Forest St, Reno, NV 89509-2706 | 2007-05-11 |
| 1063548600 | Susan Dunn Devoge | Psychologist | 1005 Forest St, Reno, NV 89509-2706 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659913168 | Companions Along The Way | Marriage & Family Therapist | 595 Humboldt St # 2g1, Reno, NV 89509-1603 | 2019-10-16 |
| 1619519808 | Stacey Michelle Lance | Marriage & Family Therapist | 1539 Pries Ct, Reno, NV 89523-1885 | 2019-10-09 |
| 1548735269 | Jessica Shields | Marriage & Family Therapist | 180 W Huffaker Ln Ste 302-303, Reno, NV 89511-2346 | 2018-10-09 |
| 1538640545 | Laurie Crom | Marriage & Family Therapist | 505 S Arlington Ave Ste 206, Reno, NV 89509-1525 | 2018-08-27 |
| 1629565908 | Thrive Wellness of Reno LLC | Marriage & Family Therapist | 421 W Plumb Ln Ste I, Reno, NV 89509-3766 | 2018-04-23 |
| 1700313244 | Beverly Jean Paschal | Marriage & Family Therapist | 3670 Grant Dr Ste 103a, Reno, NV 89509-5300 | 2017-05-15 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1013360692 | Mirit Sloves Healthy Solutions | Marriage & Family Therapist | 6490 S Mccarran Blvd Unit 50, Reno, NV 89509-6165 | 2016-07-19 |
| 1316399132 | Sabrina Allbee | Marriage & Family Therapist | 712 S Center St, Reno, NV 89501-2304 | 2016-07-05 |
| 1770955569 | Mery Mares | Marriage & Family Therapist | 1203 Nixon Ave, Reno, NV 89509-2639 | 2015-10-20 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.