Doctor Name: | DR. SHAUN MICHAEL WEST |
NPI Number: | 1649582156 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DBH, LPC, CAADC, ACS |
License Number: | C-02647 |
Business Practice Address: | 58620 Sink Road Dowagiac, MI - 490479766 |
Business Phone Number: | 2697824141 |
Business Fax Number: | |
Mailing Address: | 57009 M 62 E, DOWAGIAC |
State: | MI |
Postal Code: | 490479773 |
Phone Number: | 5869455426 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | C-02647 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |