Individual
ALRICK DEMONTEGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
901 E VAN BUREN AVE, MCALESTER, OK 74501-4239
(210) 500-6031
Mailing address
901 E VAN BUREN AVE, MCALESTER, OK 74501-4239
(210) 500-6031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/01/2023
Last updated
09/13/2023
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