Provider Demographics
NPI:1700579521
Name:ESTEVES, ALICIA (MS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:ESTEVES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 S COTTAGE GRV
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-4519
Mailing Address - Country:US
Mailing Address - Phone:406-951-2999
Mailing Address - Fax:
Practice Address - Street 1:204 N KENDRICK AVE STE 201
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-1700
Practice Address - Country:US
Practice Address - Phone:406-377-3370
Practice Address - Fax:406-377-3333
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-39089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional