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General NPI Number Information
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NPI Number | 1245469139
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Entity Type | Individual
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Provider Name | KARLA J WEST PH.D, LCPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 59 S MEADOW CREEK DR
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City | CENTERVILLE
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State | ID
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Zip | 83631-4135
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Country | US
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Telephone | 208-392-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 59 S MEADOW CREEK DR
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City | CENTERVILLE
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State | ID
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Zip | 83631-4135
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Country | US
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Telephone | 209-392-4250
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC-2730
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-2730
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-2729
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License Number State | ID
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