Individual
JESSICA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
Mailing address
192 HILLSIDE AVE, ALTOONA, PA 16601-7721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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