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General NPI Number Information
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NPI Number | 1952772170
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Entity Type | Individual
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Provider Name | VANESSA LEAH WEST LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 100 W 4TH STREET
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City | VINTON
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State | IA
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Zip | 52349
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Country | US
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Telephone | 319-540-5643
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Fax | 319-409-8120
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Provider Business Mailing Address
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Address Line | 1106 E 2ND STREET
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City | VINTON
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State | IA
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Zip | 52349
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Country | US
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Telephone | 319-540-5643
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Fax | 319-409-8120
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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 | 074577
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License Number State | IA
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