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Individual

MRS. VANESSA LEAH WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
100 W 4TH STREET, VINTON, IA 52349
(319) 540-5643
(319) 409-8120
Mailing address
1106 E 2ND STREET, VINTON, IA 52349
(319) 540-5643
(319) 409-8120

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
074577
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0221003
IA
Enumeration date
10/14/2015
Last updated
07/15/2020
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