Individual
ALEXSIS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5635 MAIN STREET, STE A #143, ZACHARY, LA 70791
(225) 721-9160
Mailing address
5073 FOX HUNT DR, ZACHARY, LA 70791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5280
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726001491
—
LA
Enumeration date
02/11/2019
Last updated
05/21/2020
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