IndividualActive
Joanna Licon
NPI 1184192403 · Peer Specialist · Kennewick, WA
Joanna Licon is a Peer Specialist provider in Kennewick, WA (NPI 1184192403).
Provider details
- NPI number
- 1184192403
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968
Phone: (509) 735-6446
Street-level locationGet directions
Mailing address
3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968
Registry dates
- Enumerated
- 2018-11-05
- Last updated
- 2018-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.