| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALICIA KAY MCDONELL | 1013328475 | 2024-09-06 |
Alicia Kay Mcdonell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013328475. Registration indicates Alicia Kay Mcdonell is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Community Health Worker) (Community Health Worker, ) (Community Health Worker, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Alicia Kay Mcdonell |
| Practice Office Address | 12625 HESPERIA RD VICTORVILLE, CA US |
| Practice Office Telephone | 7609958300 |
| Practice Office Fax | 7609552356 |
| Mailing Address | 12625 HESPERIA RD VICTORVILLE, CA 923957720 US |
| Business Telephone | 7609958300 |
| Business Fax | 7609557458 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | |
| 172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers |