Individual
DR. KARLA J WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LCPC, LMFT
Contact information
Practice address
59 S MEADOW CREEK DR, CENTERVILLE, ID 83631-4135
(208) 392-4250
Mailing address
59 S MEADOW CREEK DR, CENTERVILLE, ID 83631-4135
(209) 392-4250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-2730
ID
101YP2500X
Professional Counselor
LCPC-2730
ID
106H00000X
Marriage & Family Therapist
LMFT-2729
ID
Other
Enumeration date
07/13/2009
Last updated
06/16/2011
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