Individual
MRS. NICOLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W MAIN ST, COUNCIL GROVE, KS 66846-1704
(785) 815-0466
Mailing address
2800 BLAKEWOOD PL, MANHATTAN, KS 66502-2131
(816) 214-1854
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2538
KS
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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