Individual
ALICIA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4016 GRAND AVE STE A, CHINO, CA 91710-5491
(909) 200-3409
Mailing address
PO BOX 384, CHINO HILLS, CA 91709-0013
(909) 200-3409
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
111939
CA
106H00000X
Marriage & Family Therapist
Primary
131606
CA
106H00000X
Marriage & Family Therapist
5016-R
NV
Other
Enumeration date
07/16/2019
Last updated
02/10/2026
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