Provider Demographics
NPI:1083906770
Name:KUESTER, ALICIA MICHELLE (LMHP, CPC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MICHELLE
Last Name:KUESTER
Suffix:
Gender:F
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 26TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2361
Mailing Address - Country:US
Mailing Address - Phone:402-564-9888
Mailing Address - Fax:402-564-9899
Practice Address - Street 1:3314 26TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2361
Practice Address - Country:US
Practice Address - Phone:402-564-9888
Practice Address - Fax:402-564-9899
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2143101YP2500X
NE4358101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional