Individual
KATRINA JEANNINE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
615 5TH ST # 300, BROOKINGS, OR 97415-9199
(541) 708-9580
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 464-3807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
02/18/2025
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