Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CA | |
N | 101YP1600X | Pastoral Counselor |
NPI | 1083732234 |
---|---|
Provider Name | Mr. Eric Paul West SR. |
First Address | Bakersfield, CA 93309-1152 |
Second Address | Bakersfield, CA 93313-3470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |