Provider Demographics
NPI:1598540320
Name:MONTESA, ALICIA ANNE (LPC - ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:ANNE
Last Name:MONTESA
Suffix:
Gender:F
Credentials:LPC - ASSOCIATE
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:ANNE
Other - Last Name:SCHETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 VERISMO CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1465
Mailing Address - Country:US
Mailing Address - Phone:971-910-0926
Mailing Address - Fax:
Practice Address - Street 1:145 VERISMO CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-1465
Practice Address - Country:US
Practice Address - Phone:936-292-3199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)