Individual
MAXINE WESTMORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LPCI
Contact information
Practice address
2901 SE 11TH AVE, AMARILLO, TX 79104-2515
(806) 433-0257
(806) 354-0011
Mailing address
PO BOX 20620, AMARILLO, TX 79114-2620
(806) 433-0257
(806) 354-0011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12356
TX
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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