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Search › California › 106H00000X

Jessica Licht

NPI 1225596554 · on the registry since 2019 · sole proprietor

Practice

Address
5923 Kanan Rd
Agoura Hills, CA 91301
Phone
(310) 957-9064
Organisation at this address
Broad Horizons Marriage And Family Counseling, Prof. Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California