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NPI Code Detail

MEDICARE: ALICIA CARMONA LMFT

MEDICARE: ALICIA CARMONA LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist5016-RNV
2106H00000XMarriage & Family Therapist111939CA
3106H00000XMarriage & Family Therapist131606CA

General Provider Information

NPI Number : 1942853296
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA CARMONA LMFT
Provider Business Mailing Address
First Line : PO BOX 384
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-0013
Country : US
Telephone Number : 909-200-3409
Fax Number :
Provider Business Practice Location Address
First Line : 4160 TEMESCAL CANYON RD STE 401
Second Line :
City : CORONA
State : CA
Zip : 92883-4626
Country : US
Telephone Number : 909-200-3409
Fax Number : 855-850-3354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 06/10/2026

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Directions to “ ALICIA CARMONA LMFT” Practice Location

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