| Doctor Name: | MR. GEORGE ROSS WEST |
| NPI Number: | 1578867685 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | LCS 21345 |
| Business Practice Address: | 8374 S Lost Mine Rd Gold Canyon, AZ - 851185105 |
| Business Phone Number: | 4806221596 |
| Business Fax Number: | |
| Mailing Address: | 8374 S Lost Mine Rd, GOLD CANYON |
| State: | AZ |
| Postal Code: | 851185105 |
| Phone Number: | 4806221596 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2011 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCS 21345 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |