Healthcare Provider Details

I. General information

NPI: 1447647466
Provider Name (Legal Business Name): JANET WEST LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 KINGSHIGHWAY ST SUITE 5
ROLLA MO
65401-2938
US

IV. Provider business mailing address

PO BOX 506
PARK HILLS MO
63601-0506
US

V. Phone/Fax

Practice location:
  • Phone: 573-364-8511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2013010477
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: