| Laura A West Lpcc Llc | |
|
100 S Avenue A Ste B7 Portales NM 88130-5917 | |
| (575) 749-4376 | |
| (575) 904-9020 |
| Full Name | Laura A West Lpcc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 S Avenue A Ste B7, Portales, New Mexico |
| Authorized Official Name and Position | Laura A West (OWNER/THERAPIST) |
| Authorized Official Contact | 5757494376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A West Lpcc Llc Po Box 6385 Clovis NM 88102-6385 Ph: (575) 749-4376 | Laura A West Lpcc Llc 100 S Avenue A Ste B7 Portales NM 88130-5917 Ph: (575) 749-4376 |
| NPI Number | 1780947283 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780947283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0130471 (New Mexico) | Primary |
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