Individual
DR. JESSE MICHAEL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-3422
(843) 332-3985
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 857-0206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
664
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0243
—
SC
Enumeration date
12/01/2005
Last updated
09/22/2021
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