Individual
LARA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SUZIE LN, SUITE 1, ATTICA, IN 47918-2009
(765) 762-6187
Mailing address
3020 PHEASANT RUN DR APT 1814, LAFAYETTE, IN 47909-4014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001808A
IN
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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