Doctor Name: | KATHLEEN WESTCOT |
NPI Number: | 1053468447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA CSAC |
License Number: | 1999 |
Business Practice Address: | 500 Riverview Ave Waukesha, WI - 531883632 |
Business Phone Number: | 2625487666 |
Business Fax Number: | |
Mailing Address: | 500 Riverview Ave, WAUKESHA |
State: | WI |
Postal Code: | 531883632 |
Phone Number: | 2625487666 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |