Doctor Name: | TIMOTHY W WEST |
NPI Number: | 1013055748 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC, CDP, CADC 3 |
License Number: | CP60167411 |
Business Practice Address: | 12607 Se Mill Plain Blvd Vancouver, WA - 986846055 |
Business Phone Number: | 3608916275 |
Business Fax Number: | |
Mailing Address: | 12607 Se Mill Plain Blvd, VANCOUVER |
State: | WA |
Postal Code: | 986846055 |
Phone Number: | 5039701650 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP60167411 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |