Individual
LAURA A WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
100 S AVENUE A, B7, PORTALES, NM 88130-5917
(575) 749-4376
(575) 904-9020
Mailing address
9601 RHODE ISLAND CT STE B, CLOVIS, NM 88101
(575) 749-4376
(575) 904-9020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0130471
NM
Other
Enumeration date
03/17/2010
Last updated
02/23/2011
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