Provider Demographics
NPI:1790581536
Name:GARCIA, ALICIA MARIA (CLINICAL ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CLINICAL ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 N KLEVIN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-1461
Mailing Address - Country:US
Mailing Address - Phone:907-727-8161
Mailing Address - Fax:
Practice Address - Street 1:342 N KLEVIN ST APT 3
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1461
Practice Address - Country:US
Practice Address - Phone:907-727-8161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
AK101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty