Provider Demographics
NPI:1366605305
Name:DELEON, ESTEVAN VENTURA (MS,LCPC,LAC)
Entity type:Individual
Prefix:MR
First Name:ESTEVAN
Middle Name:VENTURA
Last Name:DELEON
Suffix:
Gender:M
Credentials:MS,LCPC,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 ALDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4200
Mailing Address - Country:US
Mailing Address - Phone:406-245-7318
Mailing Address - Fax:406-248-5912
Practice Address - Street 1:1127 ALDERSON AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4200
Practice Address - Country:US
Practice Address - Phone:406-245-7318
Practice Address - Fax:406-248-5912
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1100101YA0400X
MT1273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional