Individual
MS. CONNIE MARIE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPCI
Contact information
Practice address
3400 LEBANON ROAD, ALVIN C YORK CAMPUS DEPARTMENT OF VETERAN AFFAIRS, MURFREESBORO, TN 37129-1237
(615) 867-6000
Mailing address
3001 HAMILTON CHURCH RD, UNIT 307, ANTIOCH, TN 37013-7401
(615) 867-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60284
STATE OF TEXAS TEMP COUNSELOR LICENSE
TX
Enumeration date
07/02/2008
Last updated
07/02/2008
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