Individual
AMELIA ANN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
610 N LEBANON ST, LEBANON, IN 46052-1716
(765) 680-0071
(765) 680-0468
Mailing address
610 N LEBANON ST, LEBANON, IN 46052-1716
(765) 680-0071
(765) 680-0468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003529A
IN
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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