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NPI Code Detail

MEDICARE: MRS. KATIE LYNN WEST MFT

MEDICARE: MRS. KATIE LYNN WEST MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMFC 53283CA
2101YM0800XMental Health CounselorMFC53283CA

General Provider Information

NPI Number : 1780022418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATIE LYNN WEST MFT
Provider Business Mailing Address
First Line : 505 S VILLA REAL STE 117
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-3441
Country : US
Telephone Number : 949-412-3256
Fax Number :
Provider Business Practice Location Address
First Line : 505 S VILLA REAL STE 117
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-3441
Country : US
Telephone Number : 949-412-3256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2013
Last Update Date : 01/14/2025

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