Doctor Name: | COLLEEN FOX WEST |
NPI Number: | 1134457609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFC40568 |
Business Practice Address: | 1811 Elm St El Cerrito, CA - 945301924 |
Business Phone Number: | 5104122155 |
Business Fax Number: | |
Mailing Address: | 1811 Elm St, EL CERRITO |
State: | CA |
Postal Code: | 945301924 |
Phone Number: | 5104122155 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2009 |
NPI Last Update Date: | 11/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC40568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |