Mrs Alicia Victoria Demontegnac, MA - Counselor in Saint Joseph, MI

Mrs Alicia Victoria Demontegnac, MA is a Counselor - Mental Health based in Saint Joseph, Michigan. Mrs Alicia Victoria Demontegnac is licensed to practice in Michigan (license number 6401012005) and her current practice location is 4085 Ravina Ter, Saint Joseph, Michigan. She can be reached at her office (for appointments etc.) via phone at (269) 240-4631.

NPI number for Mrs Alicia Victoria Demontegnac is 1144653130 and her current mailing address is 4085 Ravina Ter, St. Joseph, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144653130.

Contact Information

Mrs Alicia Victoria Demontegnac, MA
4085 Ravina Ter,
Saint Joseph, MI 49085-9655
(269) 240-4631
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Alicia Victoria Demontegnac
GenderFemale
SpecialityCounselor - Mental Health
Location4085 Ravina Ter, Saint Joseph, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144653130
  • Provider Enumeration Date: 08/14/2013
  • Last Update Date: 08/14/2013

Medical Identifiers

Medical identifiers for Mrs Alicia Victoria Demontegnac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144653130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6401012005 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alicia Victoria Demontegnac is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Alicia Victoria Demontegnac, MA
4085 Ravina Ter,
St. Joseph, MI 49085

Ph: (269) 240-4631
Mrs Alicia Victoria Demontegnac, MA
4085 Ravina Ter,
Saint Joseph, MI 49085-9655

Ph: (269) 240-4631

Reviews and Comments


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