Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 1455 | AL |
NPI | 1003017146 |
---|---|
Provider Name | Caroline W West |
First Address | Birmingham, AL 35216-3764 |
Second Address | Birmingham, AL 35216-3764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |