Individual
MS. ELIZABETH JEAN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T., L.P.
Contact information
Practice address
901 DOVE ST., SUITE 295, NEWPORT BEACH, CA 92660
(949) 975-1864
Mailing address
901 DOVE ST., SUITE 295, NEWPORT BEACH, CA 92660
(949) 975-1864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MFT28806
CA
103TP2701X
Group Psychotherapy Psychologist
Primary
MFC28806 & LPC78
CA
Other
Enumeration date
10/20/2006
Last updated
08/15/2012
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