Doctor Name: | DAN E. WEST |
NPI Number: | 1275706400 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 0701004035 |
Business Practice Address: | 104a Homestead Drive Forest, VA - 24551 |
Business Phone Number: | 4346602917 |
Business Fax Number: | 4343160026 |
Mailing Address: | 104a Homestead Drive, FOREST |
State: | VA |
Postal Code: | 24551 |
Phone Number: | 4346602917 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |