Doctor Name: | KATHRYN SUE WEST |
NPI Number: | 1376829283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3126 |
Business Practice Address: | Rr 6 Box 45 Stilwell, OK - 749609503 |
Business Phone Number: | 9186296075 |
Business Fax Number: | |
Mailing Address: | Rr 6 Box 45, STILWELL |
State: | OK |
Postal Code: | 749609503 |
Phone Number: | 9186296075 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |