Lee Thomas West, LPC

Individual provider Active NPI Professional Counselor · Valley Mills, TX

NPI 1083706188 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1083706188
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
14958 (TX)
Practice address
2935 Wolf LN
Valley Mills, TX 76689-2839
Phone
(254) 934-2108
Fax
(254) 934-2108
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14958TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14958 TX Yes

Addresses

Primary practice location

2935 Wolf LN
Valley Mills, TX 76689-2839

Mailing address

2935 Wolf LN
Valley Mills, TX 76689-2839
Phone (254) 934-2108

Other providers in Valley Mills, TX

All providers in Valley Mills, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.