Provider Demographics
NPI:1801303953
Name:ALICIA BELTRAN LCPC AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:ALICIA BELTRAN LCPC AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-922-5759
Mailing Address - Street 1:4008 SPARROW HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1332
Mailing Address - Country:US
Mailing Address - Phone:301-922-5759
Mailing Address - Fax:240-238-3044
Practice Address - Street 1:966 HUNGERFORD DR STE 20B
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1741
Practice Address - Country:US
Practice Address - Phone:301-922-5759
Practice Address - Fax:240-238-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4796101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty