Provider Demographics
NPI:1700195997
Name:LIKCANI, ADRIATIK (LMFT)
Entity Type:Individual
Prefix:DR
First Name:ADRIATIK
Middle Name:
Last Name:LIKCANI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E CULTON ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-1823
Mailing Address - Country:US
Mailing Address - Phone:660-441-7447
Mailing Address - Fax:660-747-6903
Practice Address - Street 1:107 E CULTON ST
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1823
Practice Address - Country:US
Practice Address - Phone:660-441-7447
Practice Address - Fax:660-747-6903
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009000404106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist