Individual
MR. JEFFREY ALLEN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1441 E KEARNEY ST, SPRINGFIELD, MO 65803-4101
(417) 863-6336
Mailing address
1247 E UNIVERSITY ST, SPRINGFIELD, MO 65804-1137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011024579
MO
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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