Individual
GAIL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3312 NORTHSIDE DR, SUITE D202, MACON, GA 31210-2500
(478) 254-3751
(478) 254-3752
Mailing address
3312 NORTHSIDE DR, SUITE D202, MACON, GA 31210-2500
(478) 254-3751
(478) 254-3752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006422
GA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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