Organization
BRIAN LICORISH PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENRICK BRIAN LICORISH MD (PSYCHIATRIST)
(949) 244-0104
Entity
Organization
Contact information
Practice address
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054-1140
(408) 384-3758
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
07/02/2025
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