Individual
JESSICA LYNN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2213 ELBA ST, DURHAM, NC 27705-3934
(919) 684-6148
Mailing address
2213 ELBA ST, DURHAM, NC 27705-3934
(919) 684-6148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5653
NC
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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