Individual
JOHN MARK WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
860 MOUNT VERNON LN, SALEM, VA 24153-2700
(540) 389-5468
(540) 389-5570
Mailing address
860 MOUNT VERNON LN, SALEM, VA 24153-2700
(540) 389-5468
(540) 389-5570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006880
VA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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