Individual
JANET LICIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP
Contact information
Practice address
148 SEABREEZE CIR, KISSIMMEE, FL 34743-8328
(407) 369-9482
Mailing address
148 SEABREEZE CIR, KISSIMMEE, FL 34743-8328
(407) 369-9482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5288
FL
Other
Enumeration date
12/25/2012
Last updated
12/25/2012
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