person
Susannah Marie West, LCPC
Mental Health Counselor in Burley, Idaho
NPI 1295023711

Susannah Marie West is a Mental Health Counselor based in Burley, ID and is specialized in Mental Health. Susannah Marie West practices in Burley, ID and has the professional credentials of LCPC. The NPI Number for Susannah Marie West is 1295023711 and holds a License No. 8146 (Idaho).

The current practice location address for Susannah Marie West is 1360 Albion Ave, Burley, ID and can be reached out via phone at 208-878-7008 and via fax at 208-878-7009.

Location: 1360 Albion Ave, Burley, ID, 83318-1818
person
Provider Profile Details
NPI Number
1295023711
Provider Name
Susannah Marie West
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1360 Albion Ave, Burley, ID, 83318-1818
Phone Number
208-878-7008
Fax Number
208-878-7009
Provider Enumeration Date
07/18/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295023711 05 ID
institution
Provider Business Practice Location Address Details
Address
1360 Albion Ave
City
State
Zip
83318-1818
Phone Number
208-878-7008
Fax Number
208-878-7009
person
Provider Business Mailing Address Details
Address
1360 Albion Ave
City
State
Zip
83318-1818
Phone Number
208-878-7008
Fax Number
208-878-7009
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8146 (Idaho)
Definition
Definition to come...
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