Individual
KEVIN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 275-7100
Mailing address
20486 CYPRESS WAY, TECUMSEH, OK 74873-7145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1772
CO
101YP2500X
Professional Counselor
Primary
4473
OK
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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