Individual
SUSANNAH WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9102 MAGGIE CT, SAN ANTONIO, TX 78240
(405) 226-9461
Mailing address
9102 MAGGIE CT, SAN ANTONIO, TX 78240-2191
(405) 226-9461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457678963
—
OK
Enumeration date
04/23/2010
Last updated
08/19/2018
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