Individual
MRS. KECIA LAJUAN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1285 MARKS CHURCH RD STE F, AUGUSTA, GA 30909-2472
(706) 478-9504
Mailing address
1285 MARKS CHURCH RD STE F, AUGUSTA, GA 30909-2472
(404) 769-8771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004526
GA
106H00000X
Marriage & Family Therapist
LPC004526
GA
Other
Enumeration date
01/23/2009
Last updated
07/04/2019
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