Individual
DENISE SIOMAH WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
3545 WHITEHALL PARK DR STE 300, CHARLOTTE, NC 28273-4179
(980) 302-8850
(704) 316-8118
Mailing address
769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
(704) 376-7180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15683
NC
101YP2500X
Professional Counselor
APC006998
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
08/04/2023
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